Active NPI
Nancy Hindalong, APRN
- Nurse Practitioner
- Lecanto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11002197
- Practice address
- 525 N Dacie PT
Lecanto, FL 34461-8399 - Phone
- (352) 746-2200
- NPI assigned
- Jul 24, 2019
- 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 | 11002197 | FL | Primary |
Addresses
Primary practice location
525 N Dacie PT
Lecanto, FL 34461-8399
Mailing address
4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 321-1786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106397000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Inverness | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 N Dacie PT
Lecanto, FL 34461-8399
Phone (813) 321-1786
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002197 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Skin Solutions | Current | Accepting new patients | |
| Douglas K Pierce MD PA | Past | Accepting new patients |
Locations
525 N Dacie Pt
Lecanto, FL 34461
Phone (352) 746-2200
4651 Van Dyke Rd
Lutz, FL 33558
9401 SW Highway 200
Ocala, FL 34481
Phone (352) 401-8660
9401 SW Highway 200
Ste 1001
Ocala, FL 34481
3443 Tamiami Trl
Ste 1A
Port Charlotte, FL 33952
25097 Olympia Ave
Ste 202
Punta Gorda, FL 33950
Phone (941) 205-3376
2001 Siesta Dr
Ste 201
Sarasota, FL 34239
Phone (941) 365-5582
5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001
11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- nhindalong@suncoastskin.emadirect.md
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.
-
- Dermatology Physician
- Lutz, FL
- NPI 1487827416
-
- Procedural Dermatology Physician
- Largo, FL
- NPI 1053515379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668211200000",
"number": "1164075560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 VAN DYKE RD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335584880",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N DACIE PT",
"city": "LECANTO",
"state": "FL",
"postal_code": "344618399",
"telephone_number": "352-746-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDALONG",
"first_name": "NANCY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2022-11-12",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11002197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106397000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Inverness",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Inverness",
"address_1": "502 W Highland Blvd",
"city": "Inverness",
"state": "FL",
"country_code": "US",
"postal_code": "344524720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.