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

MS. Stacy Ann Thalassites, APRN

Individual provider Family Nurse Practitioner · NPI 1376650457

MS. Stacy Ann Thalassites, APRN is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Villages Regional Hospital Physician Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
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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 APRN1709122 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN1709122 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence ARNP1709122 (FL)

Record details

NPI number1376650457
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedAugust 24, 2006
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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 Villages Regional Hospital Physician Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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