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SUSAN M STOVALL NP
NPI 1851727069
Nurse Practitioner - Family in New Smyrna Beach, FL

Active since September 19, 2013PECOS EnrolledAccepts Medicare Assignment
66.24/100
CMS Quality Rating
501 LIVE OAK ST STE B, NEW SMYRNA BEACH, FL 32168(386) 424-5248(386) 424-5249 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan M Stovall Np NPPES

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

SUSAN M STOVALL NP (NPI 1851727069) is an individual family provider in New Smyrna Beach, Florida, licensed in Florida (ARNP9436002) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1851727069
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN M STOVALLCredential: NP
Location Address501 LIVE OAK ST STE BNew Smyrna Beach, FL 32168-7300
Mailing Address501 Live Oak St Ste BNew Smyrna Beach, FL 32168-7300 · (386) 424-5248 · Fax (386) 424-5249
Phone(386) 424-5248
Fax(386) 424-5249
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 19, 2013
Last NPPES UpdateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1851727069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9436002
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN063851 (GA)
501 LIVE OAK ST STE B, New Smyrna Beach, FL 32168
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida.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

Susan M Stovall Np 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 ID6800962226
PECOS Enrollment IDI20200210000094
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.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32168 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.

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.

66.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.13
Promoting Interoperability100
Improvement Activities20
Cost34.36

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM RENGIFO CAM MD
Internal Medicine (Gastroenterology)
501 LIVE OAK ST STE B
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 424-5248
KATHERINE VANHOVE PA-C
Physician Assistant
501 LIVE OAK ST STE B
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 518-3671
CALVIN WILLIAMS
Surgery (Vascular Surgery)
501 LIVE OAK ST STE B
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 231-3600

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 Susan Stovall's NPI number?

The NPI number for Susan Stovall is 1851727069. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Where is Susan Stovall located?

Susan Stovall practices at 501 Live Oak St Ste B, New Smyrna Beach, FL 32168. The listed phone number is (386) 424-5248.

What is Susan Stovall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Stovall enrolled in Medicare?

Yes. Susan Stovall 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.

What insurance does Susan Stovall accept?

Health plans from Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Susan Stovall 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.

Is Susan Stovall affiliated with any hospitals?

According to CMS data, Susan Stovall is affiliated with Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Susan Stovall was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.