NPIMap

Individual provider Active NPI

Rachel E Aldis-Krengel, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1083253587
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005357 Issued in FL
Practice address
4801 SE 11TH Ave
Ocala, FL 34480
Phone
(815) 751-1224
NPI assigned
Dec 31, 2019
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020324 IL
Family Nurse Practitioner 363LF0000X 11005357 FL Primary

Addresses

Primary practice location

4801 SE 11TH Ave
Ocala, FL 34480

Mailing address

70 W C 478
Webster, FL 33597-7734
Phone (815) 751-1224

Other identifiers 2

IdentifierTypeStateIssuer
11005357OtherFLAPRN LICENSE
209020324OtherILAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803001522 FL Practitioner - Nurse Practitioner 1658775374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Primary Care Providers IncGroup PAC ID 1951566728, 13 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

4801 SE 11TH Ave
Ocala, FL 34480-6668
Phone (352) 816-1800

9848 SW 110TH St
Ocala, FL 34481-7651
Phone (352) 816-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005357FLMDFamily Nurse Practitioner
209020324ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers Inc CurrentSince Oct 19, 2024 Accepting new patients
Elyaman Medical Services PA Family CurrentSince Jul 26, 2021 Accepting new patients

Locations

1202 SW 17th St
Ste 102
Ocala, FL 34471
Phone (352) 237-4417

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

635 SE 17th St
Ocala, FL 34471
Phone (352) 629-7921

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1083253587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W C 478",
            "city": "WEBSTER",
            "state": "FL",
            "postal_code": "335977734",
            "telephone_number": "815-751-1224",
            "fax_number": "352-877-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SE 11TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34480",
            "telephone_number": "815-751-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDIS-KRENGEL",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "11005357",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "209020324",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.