1. Home
  2. Directory
  3. Florida
  4. Pensacola
  5. Pediatrics
  6. NPI Profile

STEPHANIE PRUDENCIO DO
NPI 1699235200
Pediatrics in Pensacola, FL

Active since March 20, 2019PECOS Enrolled
5151 N 9TH AVE, PENSACOLA, FL 32504(850) 416-7000 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Oct 18, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Stephanie Prudencio Do NPPES

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

STEPHANIE PRUDENCIO DO (NPI 1699235200) is an individual pediatrics provider in Pensacola, Florida, licensed in Florida (OS18629) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699235200
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTEPHANIE PRUDENCIOCredential: DO
Location Address5151 N 9TH AVEPensacola, FL 32504-8721
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Phone(850) 416-7000
Sole ProprietorNo
Enumeration DateMarch 20, 2019
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1699235200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · OS18629
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5151 N 9TH AVE, Pensacola, FL 32504
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Prudencio Do 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 32504 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.

MRS. VICTORIA LC MCCULLERS ARNP
Nurse Practitioner (Family)
5151 N 9TH AVE, STE 200
PENSACOLA, FL 32504
Escambia County (850) 416-4970
MRS. JEAN MARIE HOUY ARNP
Nurse Practitioner (Neonatal)
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-4501
PRASHANTH SHANMUGHAM M.D.
Pediatrics (Pediatric Critical Care Medicine)
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-4970
GARY D WRIGHT MD
Emergency Medicine
5151 N 9TH AVE, ER
PENSACOLA, FL 32504
Escambia County (850) 416-7000
CAROLINE HUNTER OLDWEILER DO
Student in an Organized Health Care Education/Training Program
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-1186
DR. RICHARD SLEVINSKI MD
Emergency Medicine
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-6670
SUMMER DUPREE WINTERS
Physician Assistant
5151 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-7000
JENNIFER T HARRELL
Occupational Therapist
5151 N 9TH AVE, SUITE 1405
PENSACOLA, FL 32504
Escambia County (850) 416-7340

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 Prudencio's NPI number?

The NPI number for Stephanie Prudencio is 1699235200. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Stephanie Prudencio located?

Stephanie Prudencio practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7000.

What is Stephanie Prudencio's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stephanie Prudencio enrolled in Medicare?

Yes. Stephanie Prudencio is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Prudencio accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Stephanie Prudencio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Prudencio was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.