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

Mrs. Stephanie Lynn Wilson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1336685395

Mrs. Stephanie Lynn Wilson, FNP-BC is a Nurse Practitioner in Lutz, Florida. Qualified in 2016, 10 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
10
Licensed in
FL, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone: (813) 321-6237
Fax: (813) 463-1801
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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 APRN9479701 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9479701 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN0000021911 (TN)

Record details

NPI number1336685395
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 16, 2017
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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