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Staci Harris , CPNP-PC

Nurse Practitioner - Pediatrics β€’ Brandon, FL

Active NPI 1144779927 Individual Practitioner Female Practitioner
Practice location in NPPES

621 Victoria St
Brandon, FL 335104313

Call 8136550292 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

621 Victoria St

Brandon, FL 335104313

Telephone 8136550292
Organization at the Same NPPES Address or Phone
Nadal Pediatrics, Llc Facility NPI 1013988146

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Brandon, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.65 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brandon and Florida

9 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Brandon, FL (1,547 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $13.65.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
PENMENVY General $13.65

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-02
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES FL ARNP9458087
Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES FL 9458087

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES OH RN322649
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0189628 (OH)

Secondary Practice Locations

376 E Bloomingdale Ave

Brandon, FL 335118155

Phone: 8136817101

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

20 Historical Events
πŸ“
Updated Practice Location August 02, 2024

Registered at 621 VICTORIA ST, BRANDON, FL 335104313 (Tel: 8136550292)

πŸ“
Updated Business Mailing Address August 02, 2024

Registered at 621 VICTORIA ST, BRANDON, FL 335104313 (Tel: 8136550292)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2024

Registered Nurse (license number reported to NPPES: FL 9458087)

πŸ“
Updated Practice Location August 31, 2023

Registered at 2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 336076545 (Tel: 8138731725)

πŸ“
Updated Business Mailing Address August 31, 2023

Registered at 2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 336076545 (Tel: 8138731725)

πŸ“
Updated Practice Location April 15, 2020

Registered at 1338 W FLETCHER AVE, TAMPA, FL 336123366 (Tel: 8132642288)

πŸ“
Updated Business Mailing Address April 15, 2020

Registered at 1338 W FLETCHER AVE, TAMPA, FL 336123366 (Tel: 8132642288)

βœ…
NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location September 14, 2017

Registered at 121 K D REVELL RD, WAUCHULA, FL 338732051 (Tel: 8637870696)

πŸ“
Updated Business Mailing Address September 14, 2017

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: (863) 268-7850)

πŸ‘€
Provider Name / Credentials Updated September 14, 2017

Recorded as STACI HARRIS, CPNP-PC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Nurse Practitioner (license number reported to NPPES: FL ARNP9458087)

πŸ“
Updated Practice Location March 14, 2017

Registered at 601 EDWIN C. MOSES BLVD, ELIZABETH PLACE, 4TH FLOOR, DAYTON, OH 454173424 (Tel: 9377349450)

πŸ“
Updated Business Mailing Address March 14, 2017

Registered at 601 EDWIN C. MOSES BLVD, ELIZABETH PLACE, 4TH FLOOR, DAYTON, OH 454173424 (Tel: 9377349450)

βœ…
NPI Profile Active September 22, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 22, 2016

Registered at 2620 WESTFIELD AVE, DAYTON, OH 454202378 (Tel: 9376205765)

πŸ“
Business Mailing Address (Initial Record) September 22, 2016

Registered at 2620 WESTFIELD AVE, DAYTON, OH 454202378 (Tel: 9376205765)

πŸ‘€
Provider Name / Credentials (Initial Record) September 22, 2016

Recorded as STACI HARRIS, CPNP-PC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2016

Nurse Practitioner (license number reported to NPPES: OH RN322649)

🟒
Initial NPI Registration & Enumeration September 22, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1144779927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2016
Last Update: August 02, 2024
Sole Proprietor: No

Mailing Address

621 Victoria St

Brandon, FL 335104313

Phone: 8136550292

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.