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MRS. STEPHANIE THADAL
NPI 1235989393
Nurse Practitioner - Psychiatric/Mental Health in Port Saint Lucie, FL

Active since March 22, 2024PECOS EnrolledAccepts Medicare Assignment
1555 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986(772) 303-1148 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Feb 3, 2025, Apr 12, 2024 and 1 more (4 updates tracked since 2024).

About Mrs. Stephanie Thadal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STEPHANIE THADAL (NPI 1235989393) is an individual psychiatric/mental health provider in Port Saint Lucie, Florida, licensed in Florida (11031757) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flushing, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235989393
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. STEPHANIE THADAL
Location Address1555 NW SAINT LUCIE WEST BLVDPort Saint Lucie, FL 34986-1758
Mailing Address1555 Nw Saint Lucie West BlvdPort Saint Lucie, FL 34986-1758 · (954) 417-5985 · Fax (754) 339-0006
Phone(772) 303-1148
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 22, 2024
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1235989393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · 11031757✔ Licensed in NY · 406512
1555 NW SAINT LUCIE WEST BLVD, Port Saint Lucie, FL 34986
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Secondary Practice Location 1

Location 113101 40th Rd Apt 15CFlushing, NY 11354-5245 · Phone (954) 417-5985 · Fax (754) 339-0006

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stephanie Thadal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709316961
PECOS Enrollment IDI20250710001799
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES EDWARD ENGLISH LMHC, MS,CAS
Counselor (Mental Health)
1555 NW SAINT LUCIE WEST BLVD, SUITE 203
PORT ST LUCIE, FL 34986
St. Lucie County (561) 371-9315
ERIN KATHLEEN MCNAMARA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1555 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986
St. Lucie County (772) 878-7216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Thadal's NPI number?

The NPI number for Stephanie Thadal is 1235989393. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Stephanie Thadal located?

Stephanie Thadal practices at 1555 NW Saint Lucie West Blvd, Port Saint Lucie, FL 34986. The listed phone number is (772) 303-1148.

What is Stephanie Thadal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stephanie Thadal enrolled in Medicare?

Yes. Stephanie Thadal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Thadal accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Stephanie Thadal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Thadal was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.