Active NPI
Amber Lynn Reffitt, APRN
- Gerontology Nurse Practitioner
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11011614
- 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
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 |
|---|---|---|---|---|
| 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
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, IncAbility Health Services and Rehabilitation LP
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
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011614 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Critical Care & Sleep Specialists of Lake County, PA | Current | Accepting new patients | |
| Eracare Physicians LLC | Current | Accepting new patients | |
| South Lake Gastroenterology Inc | Past | 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
- https://fhir4.healow.com/fhir/r4/JJABCA
- 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.
-
- Pulmonary Disease Physician
- Tavares, FL
- NPI 1508999673
FL
-
- Specialist
- Clermont, FL
- NPI 1467647685
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.