STEPHANIE DRAFTS PELLEGRINO APRN, PMHNP-BC
NPI 1417613647
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Q: What is Stephanie Drafts Pellegrino's NPI number?

The NPI number for Stephanie Drafts Pellegrino is 1417613647. It was assigned to this individual provider in the NPPES registry on November 11, 2021.

Q: What is Stephanie Drafts Pellegrino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 11, 2021PECOS EnrolledAccepts Medicare Assignment

2789 ORTIZ AVE, FORT MYERS, FL 33905(239) 275-3222 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2022, Mar 3, 2022, Nov 11, 2021 (3 updates tracked since 2021).

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About Stephanie Drafts Pellegrino Aprn, Pmhnp-bc NPPES

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

STEPHANIE DRAFTS PELLEGRINO APRN, PMHNP-BC (NPI 1417613647) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Florida (APRN11015790) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417613647

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTEPHANIE DRAFTS PELLEGRINOCredential: APRN, PMHNP-BC

Location Address2789 ORTIZ AVEFort Myers, FL 33905-7806

Mailing Address2789 Ortiz AveFort Myers, FL 33905-7806 · (239) 275-3222

Phone(239) 275-3222

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 11, 2021

Last NPPES UpdateApril 21, 20223 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1417613647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11015790

2789 ORTIZ AVE, Fort Myers, FL 33905

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Stephanie Drafts Pellegrino Aprn, Pmhnp-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 ID1658737291

PECOS Enrollment IDI20241120001964, I20241125001390

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

50 services27 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33905 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

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 20

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

MR. CARLYSLE JOHN HARTSELL B.S.

Case Manager/Care Coordinator