STACIE QUEDENFELD APRN
NPI 1407410970
Nurse Practitioner - Family in Orlando, FL

Q: What is Stacie Quedenfeld's NPI number?

The NPI number for Stacie Quedenfeld is 1407410970. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Q: What is Stacie Quedenfeld's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Quedenfeld was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment

12301 LAKE UNDERHILL RD STE 215, ORLANDO, FL 32828(321) 235-0692(321) 235-0694 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Jul 10, 2021, Apr 12, 2021 and 1 more (4 updates tracked since 2019).

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About Stacie Quedenfeld Aprn NPPES

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

STACIE QUEDENFELD APRN (NPI 1407410970) is an individual family provider in Orlando, Florida, licensed in Florida (APRN11002198) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407410970

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACIE QUEDENFELDCredential: APRN

Location Address12301 LAKE UNDERHILL RD STE 215Orlando, FL 32828-4511

Mailing Address12301 Lake Underhill Rd Ste 215Orlando, FL 32828-4511 · (321) 235-0692 · Fax (321) 235-0694

Phone(321) 235-0692

Fax(321) 235-0694

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 30, 2019

Last NPPES UpdateFebruary 21, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2026

✔ NPI 1407410970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11002198

12301 LAKE UNDERHILL RD STE 215, Orlando, FL 32828

Open in Google Maps ↗

Other Identifiers 2

OtherAPRN11002198FL · Florida License

Medicaid111144600FL

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

Stacie Quedenfeld 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 ID7618385303

PECOS Enrollment IDI20210419000843

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacie Quedenfeld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Of Central Florida Inc

Same address

General Practice

12301 LAKE UNDERHILL RD STE 215
Orlando, FL 32828

Reassigned Medicare billing, Florida enrollment
47 clinicians in this Medicare group

NPI 1205903432 (321) 235-0692

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 32828 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$50.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERIC A CARLON APRN, PMHNP -BC

Nurse Practitioner (Psychiatric/Mental Health)