Active NPI
Lynsey Materni
- Family Nurse Practitioner
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11004429
- Practice address
- 1917 Glen Mist CV
Longwood, FL 32750-4814 - Phone
- (407) 443-7609
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11004429 | FL | Primary |
Addresses
Primary practice location
1917 Glen Mist CV
Longwood, FL 32750-4814
Mailing address
1917 Glen Mist CV
Longwood, FL 32750-4814
Phone (407) 443-7609
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Longwood |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Maitland Ctr Pkwy
Suite 310
Maitland, FL 32751-7442
Phone (407) 426-4800
5900 Lake Ellenor Dr
Suite 700
Orlando, FL 32809-4643
Phone (407) 352-2542
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004429 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopa LLC | Current | Accepting new patients | |
| House Call M.D.'S L.L.C. | Current | Accepting new patients |
Locations
2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800
2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400
5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101
821 Good Homes Rd
Orlando, FL 32818
Phone (407) 426-4800
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Maitland, FL
- NPI 1275955312
-
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1417021114
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orlando, FL
- NPI 1922171107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1003457888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 GLEN MIST CV",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504814",
"telephone_number": "407-443-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 GLEN MIST CV",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504814",
"telephone_number": "407-443-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATERNI",
"first_name": "LYNSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11004429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Longwood",
"affiliation": "N",
"address_1": "1917 Glen Mist Cv",
"city": "Longwood",
"state": "FL",
"country_code": "US",
"postal_code": "327504814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.