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

Stephanie Nowak, APRN

Individual provider Nurse Practitioner · NPI 1700361094

Stephanie Nowak, APRN is a Nurse Practitioner in Melbourne, Florida. Qualified in 2018, 8 years ago. Practices with Porter Premier Dermatology and Surgery Center, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
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

1223 Gateway Dr Ste 2H
Melbourne, FL 32901-2607
Phone: (321) 574-9136
Fax: (321) 676-0091
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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 9411851 (FL)

Record details

NPI number1700361094
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Porter Premier Dermatology And Surgery Center, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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