Individual provider Active NPI

Emily Novis, FNP

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1154033652
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016333 Issued in FL
Practice address
4700 Research Way
Lakeland, FL 33805-8531
Phone
(863) 687-1100
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 11016333 FL Primary

Addresses

Primary practice location

4700 Research Way
Lakeland, FL 33805-8531

Mailing address

7810 Lake Wilson Rd
Davenport, FL 33896-9605

Other practice location 1

930 Marcum Rd
Lakeland, FL 33809-4308
Phone (863) 687-1100

Other practice location 2

7810 Lake Wilson Rd
Davenport, FL 33896-9605
Phone (863) 420-7617

Other practice location 3

4710 S Florida Ave
Lakeland, FL 33813-2165
Phone (863) 687-1100

Other practice location 4

2400 Kathleen Rd
Lakeland, FL 33810-3077
Phone (863) 687-1100

Other practice location 5

130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 687-1100

Other practice location 6

111 Lake Hollingsworth Dr
Lakeland, FL 33801-5607
Phone (863) 687-1100

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
I20230627001411 FL Practitioner - Nurse Practitioner 1153789938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

130 Pablo St
Lakeland, FL 33803-3818
Phone (863) 284-5941

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565

930 Marcum Rd
Suite 10
Lakeland, FL 33809-4308
Phone (863) 284-6800

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
64.08
Promoting interoperability
98
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016333FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Jul 10, 2024 Accepting new patients
Z Medical Center Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

7810 Lake Wilson Rd
Davenport, FL 33896
Phone (407) 670-8586

4700 Research Way
Lakeland, FL 33805
Phone (863) 603-6504

4710 S Florida Ave
Lakeland, FL 33813
Phone (863) 284-6800

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 687-1222

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

Interoperability endpoints

  • Direct secure messaging: enovis53843@lrhs.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1154033652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 LAKE WILSON RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338969605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 RESEARCH WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338058531",
            "telephone_number": "863-687-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Marcum Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338094308",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7810 Lake Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338969605",
            "country_code": "US",
            "telephone_number": "863-420-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132165",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Kathleen Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338103077",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Pablo St",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338033818",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Lake Hollingsworth Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338015607",
            "country_code": "US",
            "telephone_number": "863-687-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVIS",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.