Active NPI
Patricia Pauline Koerner, ARNP
- Family Nurse Practitioner
- New Smyrna Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN9187304
- Practice address
- 245 N Causeway
New Smyrna Beach, FL 32169-5239 - Phone
- (386) 426-5800
- NPI assigned
- Sep 29, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9187304 | FL | Primary |
Addresses
Primary practice location
245 N Causeway
New Smyrna Beach, FL 32169-5239
Mailing address
395 Trafalga Ave
Port Orange, FL 32127-5942
Phone (386) 864-0860
Other names 1
- Ms. Patricia Pauline Dollieslager
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 |
|---|---|---|---|---|
| I20170216001917 | FL | Practitioner - Nurse Practitioner | 0840573879 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9187304 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Visiting Practitioners, LLC | Current | Accepting new patients | |
| Behavioral Health Services of Florida LLC | Current | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Current | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past | Accepting new patients |
Locations
140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836
1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680
7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413
8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434
3200 SW 34th Ave
Ste 702
Ocala, FL 34474
5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015
Networks
- Freedom Health HMO Network
Interoperability endpoints
- patricia.koerner.1@13869.direct.athenahealth.com
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.
-
- Primary Care Nurse Practitioner
- Daytona Beach, FL
- NPI 1265915359
FL
-
- Psychiatric/Mental Health Nurse Practitioner
- Daytona Beach, FL
- NPI 1619649217
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1154870384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 TRAFALGA AVE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321275942",
"telephone_number": "386-864-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N CAUSEWAY",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321695239",
"telephone_number": "386-426-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOERNER",
"first_name": "PATRICIA",
"middle_name": "PAULINE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN9187304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "DOLLIESLAGER",
"middle_name": "PAULINE",
"prefix": "MS.",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.