STONEBRAKER MEDICAL, LLC
NPI 1922892801
Nurse Practitioner - Family in Fort Myers, FL
About Stonebraker Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STONEBRAKER MEDICAL, LLC (NPI 1922892801) is a healthcare organization registered as a family in Fort Myers, Florida and active in the NPI registry since April 2025. The organization lists Mary Elizabeth Stonebraker, Family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stonebraker Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stonebraker Medical, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Stonebraker Medical, LLC's NPI number?
The NPI number for Stonebraker Medical, LLC is 1922892801. It was assigned to this organization in the NPPES registry on April 7, 2025.
Where is Stonebraker Medical, LLC located?
Stonebraker Medical, LLC is located at 1922 Victoria Ave Ste A, Fort Myers, FL 33901. The listed phone number is (239) 699-1082.
What is Stonebraker Medical, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stonebraker Medical, LLC enrolled in Medicare?
Yes. Stonebraker Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stonebraker Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stonebraker Medical, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stonebraker Medical, LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Stonebraker Medical, Llc · NPI 1922892801
Family organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since April 7, 2025.
## Identity
- **NPI:** 1922892801 (Entity type: Organization)
- **Enumerated:** April 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Mary Stonebraker, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 1922 VICTORIA AVE STE A, Fort Myers, FL 33901-3441
- **Phone:** (239) 699-1082 · **Fax:** (239) 984-8873
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922892801) · Data from the CMS NPPES public registry.