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

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: November 01, 2026.

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

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
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

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

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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Drafts Pellegrino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
3763 EVANS AVE
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
Diagnostic Radiology
11335 PEMBROOKE SQ STE 101
Waldorf, MD 20603
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1952320061 (District of Columbia)
  • 2,379 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
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.
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.

Case Manager/Care Coordinator
2789 ORTIZ AVE
FORT MYERS, FL 33905
Case Manager/Care Coordinator
2789 ORTIZ AVE
FORT MYERS, FL 33905
Case Manager/Care Coordinator
2789 ORTIZ AVE
FORT MYERS, FL 33905
Counselor (Mental Health)
2789 ORTIZ AVE
FORT MYERS, FL 33905
Licensed Practical Nurse
2789 ORTIZ AVE
FORT MYERS, FL 33905
Social Worker
2789 ORTIZ AVE
FORT MYERS, FL 33905
Case Manager/Care Coordinator
2789 ORTIZ AVE
FORT MYERS, FL 33905
Counselor (Mental Health)
2789 ORTIZ AVE
FORT MYERS, FL 33905

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 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.

Where is Stephanie Drafts Pellegrino located?

Stephanie Drafts Pellegrino practices at 2789 Ortiz Ave, Fort Myers, FL 33905. The listed phone number is (239) 275-3222.

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.

Is Stephanie Drafts Pellegrino enrolled in Medicare?

Yes. Stephanie Drafts Pellegrino 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 Drafts Pellegrino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Drafts Pellegrino reassigns Medicare benefits to 2 organizations: Saluscare, Inc. (Fort Myers, FL) and Inova Health Care Services (Waldorf, MD). 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 Drafts Pellegrino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stephanie Drafts Pellegrino affiliated with any hospitals?

According to CMS data, Stephanie Drafts Pellegrino is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Drafts Pellegrino was last updated on April 21, 2022. 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.