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STEPHANIE FRY RN, RD, LDN, CDCES
NPI 1336978576
Dietitian, Registered in Cape Coral, FL

Active since July 27, 2024Accepts Medicare Assignment
4417 AGUALINDA BLVD, CAPE CORAL, FL 33914(239) 469-0866 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Jul 27, 2024 (2 updates tracked since 2024).

About Stephanie Fry Rn, Rd, Ldn, Cdces NPPES

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

STEPHANIE FRY RN, RD, LDN, CDCES (NPI 1336978576) is an individual dietitian, registered in Cape Coral, Florida, licensed in Florida (86343660) and active in the NPI registry since July 2024. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1336978576
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTEPHANIE FRYCredential: RN, RD, LDN, CDCES
Location Address4417 AGUALINDA BLVDCape Coral, FL 33914-6211
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9646 · Fax (239) 343-9681
Phone(239) 469-0866
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2024
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1336978576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in FL · 86343660
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedNutritionistTaxonomy 133N00000X · License ND12759 (FL)
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 9563454 (FL)
4417 AGUALINDA BLVD, Cape Coral, FL 33914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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

Stephanie Fry Rn, Rd, Ldn, Cdces 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 ID5991238172
PECOS Enrollment IDI20241025002726

Medicare Billing Reassignments

4

Medicare enrollment records show Stephanie Fry reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Glucotrition
Same address
Nutrition, Metabolic
4417 AGUALINDA BLVD
Cape Coral, FL 33914
  • Reassigned Medicare billing, Florida enrollment
NPI 1902762859 (239) 469-0866
Lee Memorial Health System
7.7 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1992873319 (239) 424-1500
Lee Health System Inc
7.7 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Medical Dietitians LLC
91 mi
Dietitian, Registered
229 45TH AVE
St Pete Beach, FL 33706
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1053028415 (181) 346-0879

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 33914 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
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
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

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

GLUCOTRITION
Dietitian, Registered (Nutrition, Metabolic)
4417 AGUALINDA BLVD
CAPE CORAL, FL 33914
Lee County (239) 469-0866

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 Fry's NPI number?

The NPI number for Stephanie Fry is 1336978576. It was assigned to this individual provider in the NPPES registry on July 27, 2024.

Where is Stephanie Fry located?

Stephanie Fry practices at 4417 Agualinda Blvd, Cape Coral, FL 33914. The listed phone number is (239) 469-0866.

What is Stephanie Fry's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Stephanie Fry enrolled in Medicare?

Yes. Stephanie Fry 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 Fry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fry reassigns Medicare benefits to 4 organizations: Glucotrition (Cape Coral, FL), Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL) and Medical Dietitians LLC (St Pete Beach, 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 Fry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Fry accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Stephanie Fry 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 Fry was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.