NICOLE LYNN STEPHAN APRN
NPI 1407513054
Nurse Practitioner - Neonatal in Jacksonville, FL

Q: What is Nicole Stephan's NPI number?

The NPI number for Nicole Stephan is 1407513054. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Q: What is Nicole Stephan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Stephan was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 November 18, 2021PECOS Enrolled

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-8000 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2021, Nov 18, 2021 (2 updates tracked since 2021).

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About Nicole Lynn Stephan Aprn NPPES

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

NICOLE LYNN STEPHAN APRN (NPI 1407513054) is an individual neonatal provider in Jacksonville, Florida, licensed in Florida (11015579) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407513054

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameNICOLE LYNN STEPHANCredential: APRN

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202

Mailing Address7740 Bridge Point DrCincinnati, OH 45248-1922 · (513) 502-0035

Phone(904) 202-8000

Sole ProprietorNo

Enumeration DateNovember 18, 2021

Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration

NPPES CertifiedDecember 28, 2021

✔ NPI 1407513054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

License✔ Licensed in FL · 11015579

800 PRUDENTIAL DR, Jacksonville, FL 32207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lynn Stephan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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