Individual provider Active NPI

Susan Lynette Fort, ARNP

  • Adult Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1003117532
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 3295302 Issued in FL
Practice address
2528 NW 32ND St
Gainesville, FL 32605-2743
Phone
(352) 224-8161
Fax
(321) 320-8780
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 3295302 FL Primary

Addresses

Primary practice location

2528 NW 32ND St
Gainesville, FL 32605-2743

Mailing address

2528 NW 32ND St
Gainesville, FL 32605-2743
Phone (352) 224-8161

Other practice location 1

4000 SW 20th Ave
Gainesville, FL 32607-4417
Phone (352) 224-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001162 FL Practitioner - Nurse Practitioner 3173712239 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Healthcare Resources LLCGroup PAC ID 0345305876, 29 clinicians

Practice addresses (Care Compare)

4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (844) 558-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3295302FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Quality Healthcare Resources LLC CurrentSince Sep 11, 2025 Accepting new patients
C Gurol Erbay MD PA CurrentSince Feb 2, 2013 Accepting new patients
Lifeforce Healthcare LLC Adult Health CurrentSince Jan 1, 2018 Accepting new patients
Abode Hospice of Florida, LLC Past Accepting new patients
Florida Health Care LLC Past Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

7109 NW 11th Pl
Ste B
Gainesville, FL 32605
Phone (352) 333-9909

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1003117532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 NW 32ND ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052743",
            "telephone_number": "352-224-8161",
            "fax_number": "321-321-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 NW 32ND ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052743",
            "telephone_number": "352-224-8161",
            "fax_number": "321-320-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 SW 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326074417",
            "country_code": "US",
            "telephone_number": "352-224-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORT",
        "first_name": "SUSAN",
        "middle_name": "LYNETTE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 3295302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.