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Active NPI 1336685395 Individual Practitioner Female Practitioner

Stephanie Lynn Wilson , FNP-BC

Nurse Practitioner • Lutz, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Wilson, FNP-BC is a certified Nurse Practitioner practicing in Lutz, FL. With approximately 10 years of clinical experience since completing medical education in 2016, Stephanie Wilson delivers high-quality medical care to the local community at 4211 VAN DYKE RD STE 200.

Stephanie Wilson is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital observation care, initial hospital care with moderate level of medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4211 Van Dyke Rd Ste 200

Lutz, FL 335588005

Telephone 8133216237
Fax 8134631801
Associated Practice Facility / Clinic
🏢 Baycare Medical Group Inc Facility NPI 1962071001

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lutz, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -0.8 yrs vs City Avg
City Avg: 10.8 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Lutz, FL (8990 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (10 Years) 10 Yrs
Lutz Specialty Average (10.8 Years) 10.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99220 Hospital observation care, typically 70 minutes
30 29 $305.00 $150.01

Medical Specialties & State Licenses

CMS Verified: 2022-10-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9479701

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL 9479701

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TN APN0000021911

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
107548200 (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Baycare Medical Group, Inc.

4211 Van Dyke Rd, Lutz, FL 335588005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Yun Chang , MD

Internal Medicine

NPI 1033152087

Doctor of Medicine (M.D.)

Dr. Lee Baker , MD

Internal Medicine

NPI 1073707238

Doctor of Medicine (M.D.)

Jasmine Young

Hospitalist

NPI 1083033351
NPI 1104966423

Doctor of Medicine (M.D.), Master of Physical Therapy

NPI 1114005089

Doctor of Medicine (M.D.)

NPI 1154763415

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Nurse Practitioner (License #9479701 in FL)

📍
Updated Practice Location August 10, 2020

Registered at 4211 VAN DYKE RD STE 200, LUTZ, FL 335588005 (Tel: 8133216237)

📍
Updated Business Mailing Address August 10, 2020

Registered at 2995 DREW ST FL 2, CLEARWATER, FL 337593012 (Tel: 7275321355)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2020

Nurse Practitioner (License #APRN9479701 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2020

Nurse Practitioner (License #9479701 in FL)

📍
Updated Practice Location March 10, 2020

Registered at 22003 BUTTERFLY KISS DR # DE, LAND O LAKES, FL 346377696 (Tel: 7313940135)

📍
Updated Business Mailing Address March 10, 2020

Registered at 22003 BUTTERFLY KISS DR, LAND O LAKES, FL 346377696 (Tel: 7313940135)

NPI Profile Active January 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2017

Registered at 1924 ALCOA HWY, U56, KNOXVILLE, TN 379201511 (Tel: 8563059081)

📍
Updated Business Mailing Address January 16, 2017

Registered at 7432 SPARKLE LN, KNOXVILLE, TN 379313723 (Tel: 7313940135)

👤
Provider Name / Credentials Updated January 16, 2017

Recorded as STEPHANIE WILSON, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2017

Nurse Practitioner (License #APN0000021911 in TN)

🟢
Initial NPI Registration & Enumeration January 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336685395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2017
Last Update: October 28, 2022
Sole Proprietor: No

Mailing Address

2995 Drew St Fl 2

Clearwater, FL 337593012

Phone: 7275321355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.