STEPHANIE AGELY (MD) – Emergency Medicine Physician, NPI 1023403292

STEPHANIE AGELY (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. ME135679 (FL). The NPI Number for STEPHANIE AGELY (MD) is 1023403292

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE AGELY (MD)
NPI
1023403292
Phone
(904) 396-5682
Address
820 PRUDENTIAL DR STE 713
Enumeration Date
3 April 2015
Last Update Date
8 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042022000
Graduation Year
2015 (11 years ago)
PAC ID
3072829860
Group Practice PAC ID
7911811435
Professional Enrollment ID
I20180820001872
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE AGELY (MD)

  • 820 PRUDENTIAL DR STE 713

    JACKSONVILLE, FL 322078209

    Phone: (904) 396-5682

    Type: Mailing

  • 655 W 8th St

    Jacksonville, FL 322096511

    Phone: (904) 244-3817

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180820001872IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 32207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911811435View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE AGELY (MD)?
STEPHANIE AGELY (MD) — NPI 1023403292 — is the standard way to identify this listing.
Can I rely on STEPHANIE AGELY (MD) being an active provider?
As of the registry snapshot, STEPHANIE AGELY (MD) is marked active.
What is STEPHANIE AGELY (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for STEPHANIE AGELY (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE AGELY (MD)?
STEPHANIE AGELY (MD)'s geographic hint is Jacksonville, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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