MRS. STEPHANIE THADAL
NPI 1235989393
Nurse Practitioner - Psychiatric/Mental Health in Port Saint Lucie, FL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Stephanie Thadal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pembroke Pines, FL 33024
- Reassigned Medicare billing, Florida enrollment
- 466 clinicians in this Medicare group
Orlando, FL 32839
- Reassigned Medicare billing, Florida enrollment
- 49 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, New York enrollment
- 867 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PORT ST LUCIE, FL 34986
PORT ST LUCIE, FL 34986
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.
Which organizations bill Medicare for Stephanie Thadal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Thadal reassigns Medicare benefits to 3 organizations: South Broward Hospital District (Pembroke Pines, FL), Thrive Behavioral Sciences Orlando LLC (Orlando, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Thadal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Thadal accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers 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 5 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.
# Mrs. Stephanie Thadal · NPI 1235989393
Psychiatric/Mental Health physician in Port Saint Lucie, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1235989393 (Entity type: Individual)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11031757 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1555 NW SAINT LUCIE WEST BLVD, Port Saint Lucie, FL 34986-1758
- **Phone:** (772) 303-1148
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): South Broward Hospital District (NPI 1063495836, Pembroke Pines, FL); Thrive Behavioral Sciences Orlando LLC (NPI 1063979730, Orlando, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235989393) · Data from the CMS NPPES public registry.