Individual provider Active NPI

Teri Allen

  • Family Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1114634094
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022460 Issued in FL
Practice address
3985 Hillingdon Rd
Tavares, FL 32778-5737
Phone
(352) 250-0586
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 11022460 FL Primary

Addresses

Primary practice location

3985 Hillingdon Rd
Tavares, FL 32778-5737

Mailing address

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

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
I20221206002222 FL Practitioner - Nurse Practitioner 2567831035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1920 SW 20TH PL
Suite 100
Ocala, FL 34471-7881
Phone (352) 237-1212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022460FLMDFamily Nurse Practitioner

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Premier Medical Associates All Florida, LLC CurrentSince Nov 28, 2022 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA CurrentSince Feb 15, 2026 Accepting new patients
Quantum Inpatient Medical Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Nov 28, 2022 Accepting new patients
Surgical Specialists of Ocala PA PastSince Apr 1, 1999 Accepting new patients

Locations

1920 SW 20th Pl
Ste 100
Ocala, FL 34471
Phone (352) 237-1212

1920 SW 20th Pl
Ste 201
Ocala, FL 34471
Phone (352) 237-1212

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

910 Old Camp Rd
Ste 130
The Villages, FL 32162
Phone (352) 326-5254

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72321

Organizations & group practices 5

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1114634094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 HILLINGDON RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785737",
            "telephone_number": "352-250-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.