Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Staci L Capistrano, APRN-C

Individual provider Nurse Practitioner · NPI 1114755840

Mrs. Staci L Capistrano, APRN-C is a Nurse Practitioner in Palm Bay, Florida. Qualified in 2024, 2 years ago. Practices with Srinivas Dontineni, MD, PA, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

2169 Snapdragon Dr NW
Palm Bay, FL 32907-7205
Phone: (609) 271-2351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11034041 (FL)

Record details

NPI number1114755840
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESJuly 24, 2024
Certification dateJuly 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Srinivas Dontineni, Md, Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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