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

Stacey L Fague, CRNP

Individual provider Nurse Practitioner · NPI 1487005724

Stacey L Fague, CRNP is a Nurse Practitioner in Orlando, Florida. Qualified in 2016, 10 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, New York and Pennsylvania.

Years since qualifying
10
Licensed in
FL, NY, PA
In the registry since
2016
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

52 Underwood St
Orlando, FL 32806-1110
Phone: (888) 805-0085
Fax: (312) 863-7623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 489 5th Ave Fl 3, New York, NY 10017-6145 — (888) 663-6331
  • 1000 Norland Ave, Chambersburg, PA 17201-4229 — (717) 267-6363
  • 24 Antrim Commons Dr, Greencastle, PA 17225-1623 — (717) 593-0512
  • 46 Walnut Bottom Rd, Shippensburg, PA 17257-8219 — (717) 477-2764
  • 601 E Main St, Waynesboro, PA 17268-2332 — (717) 765-5088
  • 1401 Roosevelt Ave, York, PA 17404-2244 — (717) 356-5198

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11044213 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 357616 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP016266 (PA)

Record details

NPI number1487005724
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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 Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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