Individual provider Active NPI

Eric Scott Poetter, DNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1023359833
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002968 Issued in FL
Practice address
2611 SE 17TH St Ste B
Ocala, FL 34471-5587
Phone
(352) 629-8881
NPI assigned
Mar 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002968 FL Primary

Addresses

Primary practice location

2611 SE 17TH St Ste B
Ocala, FL 34471-5587

Mailing address

4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 321-1786

Other practice location 1

1601 NE 25th Ave
Ocala, FL 34470-8800
Phone (352) 671-7884

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
I20190920002343 FL Practitioner - Nurse Practitioner 7810227626 Reassigns benefits to 1 organization

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
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

2611 SE 17TH St
Suite B
Ocala, FL 34471-5587
Phone (813) 321-1786

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002968FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions CurrentSince Jul 29, 2019 Accepting new patients
Douglas K Pierce MD PA PastSince Aug 18, 2019 Accepting new patients

Locations

4651 Van Dyke Rd
Lutz, FL 33558

2611 SE 17th St
Ste B
Ocala, FL 34471
Phone (352) 629-8881

9401 SW Highway 200
Ste 1001
Ocala, FL 34481

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: epoetter@directaddress.net
  • Direct secure messaging: e.poetter@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1023359833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584880",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SE 17TH ST STE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715587",
            "telephone_number": "352-629-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 NE 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344708800",
            "country_code": "US",
            "telephone_number": "352-671-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POETTER",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-05",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.