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

Stacy Centeno

Individual provider Family Nurse Practitioner · NPI 1508215450

Stacy Centeno is a Nurse Practitioner in Sarasota, Florida. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2015, 11 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
11
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
FL, IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

943 S Beneva Rd Ste 210
Sarasota, FL 34232
Phone: (941) 379-1777
Fax: (941) 379-1888
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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 ARNP9487298 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.014329 (IL)

Record details

NPI number1508215450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2016
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address943 S Beneva Rd Ste 210, Sarasota, FL 34232-2472

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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