STEPHANIE DOVE ECKLES (NP-C) – Family Nurse Practitioner, NPI 1083020721

STEPHANIE DOVE ECKLES (NP-C) is a healthcare provider. based in Carrollton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. F0614978 (OH). The NPI Number for STEPHANIE DOVE ECKLES (NP-C) is 1083020721

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE DOVE ECKLES (NP-C)
NPI
1083020721
Phone
Not provided
Address
125 CANTON RD NW
Enumeration Date
2 July 2014
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308632793
Graduation Year
2014 (12 years ago)
PAC ID
8527288356
Group Practice PAC ID
0547156796
Professional Enrollment ID
I20140930001037
Address ID
OH446151000CA125XXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for STEPHANIE DOVE ECKLES (NP-C)

  • 125 CANTON RD NW

    CARROLLTON, OH 446151009

    Phone:

    Type: Mailing

  • 3719 YALE AVE NW

    CANTON, OH 447091557

    Phone: (740) 705-1679

    Type: Mailing

  • 500 SOUTH WATER STREET

    KENT, OH 44240

    Phone: (330) 678-4009

    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: 2014-09-30

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
I20140930001037INurse PractitionerOHTBD

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 44615)

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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: 0547156796View full group profile
NameSpecialtyState
Physician AssistantOH
Family PracticeOH
N E U R O L O G YSD
Nurse PractitionerOH
-OH
Physician AssistantOH
Family PracticeOH
Family PracticeOH
-OH
Family Practice, Sports MedicineOH

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE DOVE ECKLES (NP-C)'s NPI?
Yes. STEPHANIE DOVE ECKLES (NP-C) is listed with NPI 1083020721 in the public NPI dataset.
Is STEPHANIE DOVE ECKLES (NP-C) listed as active for patients and plans?
The listing shows STEPHANIE DOVE ECKLES (NP-C) as active in the NPI system.
What is STEPHANIE DOVE ECKLES (NP-C) best known for clinically?
Directory data describes STEPHANIE DOVE ECKLES (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for STEPHANIE DOVE ECKLES (NP-C)?
STEPHANIE DOVE ECKLES (NP-C)'s geographic hint is Carrollton, Ohio in our summary view.
Why does STEPHANIE DOVE ECKLES (NP-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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