Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. STACY ANN THALASSITES APRN
NPI 1376650457
Nurse Practitioner in Jacksonville, FL

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2026, Jan 5, 2026, Feb 17, 2025 and 1 more (4 updates tracked since 2025).

About Ms. Stacy Ann Thalassites Aprn NPPES

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

MS. STACY ANN THALASSITES APRN (NPI 1376650457) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN1709122) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376650457
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. STACY ANN THALASSITESCredential: APRN
Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Fax(904) 202-3846
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1376650457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN1709122
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 · Acute CareTaxonomy 363LA2100X · License ARNP1709122 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN1709122 (FL)
820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

Accepted 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

Ms. Stacy Ann Thalassites Aprn 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 ID749247435
PECOS Enrollment IDI20041214000863
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 32207 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.

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.

Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Internal Medicine (Pulmonary Disease)
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207

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 Stacy Thalassites's NPI number?

The NPI number for Stacy Thalassites is 1376650457. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Stacy Thalassites located?

Stacy Thalassites practices at 820 Prudential Dr Ste 304, Jacksonville, FL 32207. The listed phone number is (904) 202-3860.

What is Stacy Thalassites's specialty?

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

Is Stacy Thalassites enrolled in Medicare?

Yes. Stacy Thalassites 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 Stacy Thalassites accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Stacy Thalassites 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 Stacy Thalassites was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.