STEPHAN THORNTON (MS, ARNP) – Adult Health Nurse Practitioner, NPI 1962945493
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for STEPHAN THORNTON (MS, ARNP)
836 County Road 466
Lady Lake, FL 32159
Phone: (855) 353-7546
Fax: (352) 775-4413
Type: Location
2502 SAND MINE RD
DAVENPORT, FL 338973402
Phone: (855) 353-7546
Fax: (863) 216-5896
Type: Location
1450 6th St SE
Winter Haven, FL 338804505
Phone: (863) 293-2147
Fax: (863) 294-2767
Type: Location
3725 S Hwy 27
Ste 105
Clermont, FL 34711
Phone: (855) 353-7546
Fax: (352) 533-4391
Type: Location
1450, 6th Street Southeast, Winter Haven, Polk County, Florida, 33880, United States
WINTER HAVEN, FL 338804505
Phone: (863) 293-2147
Fax: (863) 294-2767
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Biofrontera Inc. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biofrontera Inc. | $22 |
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: 2017-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170309002518 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,039 | 154 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 421 | 286 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 249 | 207 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 241 | 190 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 140 | 126 | $0 |
Insurance plans in this area (ZIP 32159)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | NC | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
Reviews
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