Individual provider Active NPI

Amber Lynn Reffitt, APRN

  • Gerontology Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1023601762
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11011614 Issued in FL
Practice address
3121 Citrus Tower Blvd
Clermont, FL 34711-6881
Phone
(352) 404-5968
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11011614 FL Primary

Addresses

Primary practice location

3121 Citrus Tower Blvd
Clermont, FL 34711-6881

Mailing address

11831 Clair PL
Clermont, FL 34711-7338
Phone (815) 263-6074

Other names 1

  • Amber Lynn Owen Former name

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
I20210310003097 FL Practitioner - Nurse Practitioner 8527474881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Eracare Physicians, LLCGroup PAC ID 2567741846, 3 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2040 Oakley Seaver Dr
Suite 300
Clermont, FL 34711-1962
Phone (352) 708-8211

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011614FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care & Sleep Specialists of Lake County, PA CurrentSince Nov 1, 2022 Accepting new patients
Eracare Physicians LLC CurrentSince Mar 15, 2021 Accepting new patients
South Lake Gastroenterology Inc PastSince Mar 15, 2021 Accepting new patients

Locations

2040 Oakley Seaver Dr
Ste 300
Clermont, FL 34711
Phone (352) 708-8211

1920 Don Wickham Dr
Ste 335
Clermont, FL 34711
Phone (352) 389-0605

3121 Citrus Tower Blvd
Clermont, FL 34711
Phone (308) 379-3079

2762 Dora Ave
Tavares, FL 32778
Phone (352) 404-5968

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJABCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJCABD/Endpoint/CJCABD

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1023601762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11831 CLAIR PL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117338",
            "telephone_number": "815-263-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116881",
            "telephone_number": "352-404-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFFITT",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11011614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "OWEN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.