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MRS. MARY KATHRYN ELLERMEYER-STAPLETON ARNP-C, ANP
NPI 1710284617
Nurse Practitioner - Adult Health in Haines City, FL

Active since February 12, 2011PECOS Enrolled
1700 BAKER AVE, HAINES CITY, FL 33844(863) 421-3204 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Kathryn Ellermeyer-stapleton Arnp-c, Anp NPPES

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

MRS. MARY KATHRYN ELLERMEYER-STAPLETON ARNP-C, ANP (NPI 1710284617) is an individual adult health provider in Haines City, Florida, licensed in Florida (ARNP2513482) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710284617
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MARY KATHRYN ELLERMEYER-STAPLETONCredential: ARNP-C, ANP
Location Address1700 BAKER AVEHaines City, FL 33844-8839
Mailing AddressPo Box 91630Lakeland, FL 33804-1630 · (863) 660-2673
Phone(863) 421-3204
Sole ProprietorYes
Enumeration DateFebruary 12, 2011
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1710284617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP2513482
1700 BAKER AVE, Haines City, FL 33844
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Other Identifiers 2

Medicare UPINIA642ZFL
Medicaid014115400FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Kathryn Ellermeyer-stapleton Arnp-c, Anp 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Kathryn Ellermeyer-stapleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Department Of Health
20 mi
Public Health or Welfare
3241 LAKELAND HILLS BLVD
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1396732541 (863) 413-2620

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33844 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 2

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

MARIEYVES EDMEY ANTOINE-LAROCHE ARNP-BC OR CRNP
Nurse Practitioner (Family)
1700 BAKER AVE
HAINES CITY, FL 33844
Polk County (863) 421-3204
BAIPIDI EMILY EDWARDS ARNP
Nurse Practitioner (Community Health)
1700 BAKER AVE
HAINES CITY, FL 33844
Polk County (863) 421-3204

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 Mary Kathryn Ellermeyer-stapleton's NPI number?

The NPI number for Mary Kathryn Ellermeyer-stapleton is 1710284617. It was assigned to this individual provider in the NPPES registry on February 12, 2011.

Where is Mary Kathryn Ellermeyer-stapleton located?

Mary Kathryn Ellermeyer-stapleton practices at 1700 Baker Ave, Haines City, FL 33844. The listed phone number is (863) 421-3204.

What is Mary Kathryn Ellermeyer-stapleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Kathryn Ellermeyer-stapleton enrolled in Medicare?

Yes. Mary Kathryn Ellermeyer-stapleton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Kathryn Ellermeyer-stapleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kathryn Ellermeyer-stapleton reassigns Medicare benefits to Florida Department Of Health (Lakeland, FL). The 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 Mary Kathryn Ellermeyer-stapleton'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 Mary Kathryn Ellermeyer-stapleton was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.