Active NPI
Renee M Hogan, ARNP
- Nurse Practitioner
- Ocala, FL
National Provider Identifier
1043284136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 737342
- Practice address
- 2980 SE 3Rd CT
Ocala, FL 34471-0421 - Phone
- (352) 622-4231
- Fax
- (352) 622-0513
- NPI assigned
- Feb 15, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 737342 | FL | Primary |
Addresses
Primary practice location
2980 SE 3Rd CT
Ocala, FL 34471-0421
Mailing address
3368 NW 50TH CT
Ocala, FL 34482-9303
Phone (352) 867-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97627 | Other | FL | MEDICARE PIN/GROUP |
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 |
|---|---|---|---|---|
| I20080220000121 | FL | Practitioner - Nurse Practitioner | 3072697713 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 737342 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Kidney Group Inc | Current | Accepting new patients | |
| Ocala Kidney Group Inc | Current | Accepting new patients |
Locations
8613 SW 103rd Street Rd
Ocala, FL 34481
Phone 3526224231 ext. 270
2980 SE 3rd Ct
Ocala, FL 34471
Phone (352) 622-4231
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.
-
- Nephrology Physician
- Ocala, FL
- NPI 1881267904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1043284136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3368 NW 50TH CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344829303",
"telephone_number": "352-867-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 SE 3RD CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344710421",
"telephone_number": "352-622-4231",
"fax_number": "352-622-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "RENEE",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "737342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN/GROUP",
"identifier": "97627",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.