NINA STEVENS – Family Nurse Practitioner, NPI 1205248309

NINA STEVENS is a healthcare provider. based in Ponte vedra beach, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP9378669 (FL). The NPI Number for NINA STEVENS is 1205248309

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NINA STEVENS
NPI
1205248309
Phone
(904) 273-6533
Address
1102 A1A N
Enumeration Date
22 May 2014
Last Update Date
24 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046330820
Graduation Year
2014 (12 years ago)
PAC ID
3274847850
Group Practice PAC ID
9133025869
Professional Enrollment ID
I20150728004209
Address ID
FL320653641OR4215XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for NINA STEVENS

  • 1102 A1A N

    SUITE 104

    PONTE VEDRA BEACH, FL 320824098

    Phone: (904) 273-6533

    Fax: (904) 273-6532

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Exact Sciences Corporation ($20).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-28

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
I20150728004209INurse PractitionerFLTBD

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 32082)

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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: 9133025869View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-MN
Physician AssistantFL
Diagnostic RadiologyFL
A N E S T H E S I O L O G YFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TN
-FL
Clinical PsychologistFL

Reviews

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Frequently asked questions

How do payers reference NINA STEVENS?
For NINA STEVENS, use NPI 1205248309 as the unique 10-digit identifier.
Is NINA STEVENS shown as active in public data?
Registry records indicate NINA STEVENS maintains an active NPI.
What kind of doctor is NINA STEVENS?
NINA STEVENS is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is NINA STEVENS associated with Ponte Vedra Beach?
Public fields place NINA STEVENS around Ponte Vedra Beach, Florida. Always confirm the exact site before visiting.
Does NINA STEVENS accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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