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

Stephanie Ortman, MD

Individual provider Dermatology Physician · NPI 1053679647

Stephanie Ortman, MD is a Dermatology in Jacksonville Beach, Florida. Graduated from Creighton University School of Medicine in 2012, 14 years ago. Practices with Tricia R Andrews M D Pl, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Trained at
Creighton University School of Medicine
Licensed in
FL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 3rd St S Ste 200
Jacksonville Beach, FL 32250
Phone: (904) 249-6110
Fax: (904) 249-6119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME117974 (FL)

Record details

NPI number1053679647
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2012
Last updated in NPPESAugust 3, 2018
Mailing address3200 3rd St S Ste 200, Jacksonville Beach, FL 32250-6097

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Tricia R Andrews M D Pl — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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