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

Stephanie Natalie Buckle, APRN/FNP

Individual provider Family Nurse Practitioner · NPI 1164099800

Stephanie Natalie Buckle, APRN/FNP is a Nurse Practitioner in Kissimmee, Florida. Qualified in 2022, 4 years ago. Practices with Ridgewood Physician Services, LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

700 W Oak St
Kissimmee, FL 34741-4924
Phone: (813) 458-2518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11013458 (FL)

Record details

NPI number1164099800
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN/FNP
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

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 Ridgewood Physician Services, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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