STEPHANIE ROSA NEGRON – Optometrist, NPI 1124590500

STEPHANIE ROSA NEGRON is a healthcare provider. based in Jacksonville, Florida. specializing in Optometrist. They hold a License No. 5618 (FL). The NPI Number for STEPHANIE ROSA NEGRON is 1124590500

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ROSA NEGRON
NPI
1124590500
Phone
(904) 696-8887
Address
13221 CITY STATION DR STE 153
Enumeration Date
22 December 2018
Last Update Date
22 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045621160
Graduation Year
2018 (8 years ago)
PAC ID
1052738044
Group Practice PAC ID
0941359533
Professional Enrollment ID
I20200908000636
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for STEPHANIE ROSA NEGRON

  • Drive, Toneyville, Jacksonville, Pulaski County, Arkansas, 72076-3157, United States

    JACKSONVILLE, FL 322187251

    Phone: (904) 696-8887

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2020-09-08

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
I20200908000636IOptometryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32218)

Loading plans...

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: 0941359533View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check STEPHANIE ROSA NEGRON using NPI 1124590500?
NPI 1124590500 belongs to STEPHANIE ROSA NEGRON; compare other details if you need extra assurance.
Would STEPHANIE ROSA NEGRON appear as active to a payer?
You can treat STEPHANIE ROSA NEGRON as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to STEPHANIE ROSA NEGRON?
STEPHANIE ROSA NEGRON's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is STEPHANIE ROSA NEGRON registered?
Use Jacksonville, Florida as the headline location for STEPHANIE ROSA NEGRON here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

First Coast Eyewear, 2001, College Street, Riverside, Jacksonville, Duval County, Florida, 32205, United States
NPI: 1952304032
4225 LAKESIDE DR
NPI: 1073515284
Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States
NPI: 1023013851
201 N HOGAN ST STE 100
NPI: 1629077649
7500, Centurion Parkway, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1811997752
8771, Perimeter Park Court, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1972505477
Publix, 13170, Atlantic Boulevard, Kensington, Jacksonville, Duval County, Florida, 32225, United States
NPI: 1366435604
1580 Blanding Blvd
NPI: 1699768689
PSC 400 BOX 7563
NPI: 1225021637