MRS. STEPHANIE LYNN WILSON FNP-BC
NPI 1336685395
Nurse Practitioner in Lutz, FL

Q: What is Stephanie Wilson's NPI number?

The NPI number for Stephanie Wilson is 1336685395. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Q: What is Stephanie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Wilson was last updated on October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 16, 2017PECOS EnrolledAccepts Medicare Assignment

4211 VAN DYKE RD STE 200, LUTZ, FL 33558(813) 321-6237(813) 463-1801 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 28, 2022, Jul 26, 2022, Aug 27, 2020 and 4 more (7 updates tracked since 2017).

On this page

About Mrs. Stephanie Lynn Wilson Fnp-bc NPPES

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

MRS. STEPHANIE LYNN WILSON FNP-BC (NPI 1336685395) is an individual nurse practitioner in Lutz, Florida, licensed in Florida (APRN9479701) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336685395

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. STEPHANIE LYNN WILSONCredential: FNP-BC

Location Address4211 VAN DYKE RD STE 200Lutz, FL 33558-8005

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-1355 · Fax (813) 635-2613

Phone(813) 321-6237

Fax(813) 463-1801

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 16, 2017

Last NPPES UpdateOctober 28, 20227 updates tracked since enumeration

NPPES CertifiedOctober 28, 2022

✔ NPI 1336685395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9479701

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9479701 (FL), APN0000021911 (TN)

4211 VAN DYKE RD STE 200, Lutz, FL 33558

Open in Google Maps ↗

Other Identifiers 1

Medicaid107548200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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 Lynn Wilson Fnp-bc 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 ID7315224995

PECOS Enrollment IDI20180711000628

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33558 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

JASMINE YOUNG

Hospitalist