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

Mrs. Stephanie Sue Wanlass, AGNP-C

Individual provider Medical-Surgical Registered Nurse · NPI 1720716988

Mrs. Stephanie Sue Wanlass, AGNP-C is a Nurse Practitioner in Rocky Point, New York. Qualified in 2022, 4 years ago. Practices with Harbor View Medical Services PC, a 58-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

745 Route 25A Ste A
Rocky Point, NY 11778-6603
Phone: (631) 821-0200
Fax: (631) 821-5721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 N Country Rd, Port Jefferson, NY 11777-2119 — (631) 473-1320

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 310780 (NY)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 589857 (NY)

Record details

NPI number1720716988
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Harbor View Medical Services Pc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services