MS. STEPHANIE SHEA POULOS FNP-C
NPI 1689232738
Nurse Practitioner - Family in Jacksonville, FL
About Ms. Stephanie Shea Poulos Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. STEPHANIE SHEA POULOS FNP-C (NPI 1689232738) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11002300) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Stephanie Shea Poulos Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephanie Poulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32209
- Reassigned Medicare billing, Florida enrollment
- 1,456 clinicians in this Medicare group
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 124 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
JACKSONVILLE, FL 32209
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 Poulos's NPI number?
The NPI number for Stephanie Poulos is 1689232738. It was assigned to this individual provider in the NPPES registry on June 4, 2019.
Where is Stephanie Poulos located?
Stephanie Poulos practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-0411.
What is Stephanie Poulos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Poulos enrolled in Medicare?
Yes. Stephanie Poulos 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 Poulos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Poulos reassigns Medicare benefits to 2 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL) and Cardiac Vision LLC (Jacksonville, FL). 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 Poulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Poulos was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Stephanie Shea Poulos, FNP-C · NPI 1689232738
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 4, 2019.
## Identity
- **NPI:** 1689232738 (Entity type: Individual)
- **Enumerated:** June 4, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11002300 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 655 W 8TH ST, Jacksonville, FL 32209-6511
- **Phone:** (904) 244-0411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Florida Jacksonville Physicians Inc (NPI 1326208695, Jacksonville, FL); Cardiac Vision LLC (NPI 1144651373, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1689232738) · Data from the CMS NPPES public registry.