Individual provider Active NPI

Karah Kiley-Rae Sickler, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1164854584
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9273396 Issued in FL
Practice address
2601 NW 23Rd Blvd
Apt 204
Gainesville, FL 32605-5905
Phone
(352) 214-7238
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9273396 FL Primary

Addresses

Primary practice location

2601 NW 23Rd Blvd
Apt 204
Gainesville, FL 32605-5905

Mailing address

2601 NW 23Rd Blvd
Apt 204
Gainesville, FL 32605-5905

Other identifiers 1

IdentifierTypeStateIssuer
010166700MedicaidFL

Other names 1

  • Mrs. Karah Kiley-Rae Cripe Former name

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
I20140107000039 FL Practitioner - Nurse Practitioner 6406084060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9273396FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 2, 2013 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 2, 2013 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kcripe12050@direct.shands.ufl.edu

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1164854584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NW 23RD BLVD",
            "address_2": "APT 204",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 NW 23RD BLVD",
            "address_2": "APT 204",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055905",
            "telephone_number": "352-214-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLER",
        "first_name": "KARAH",
        "middle_name": "KILEY-RAE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9273396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010166700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARAH",
            "last_name": "CRIPE",
            "middle_name": "KILEY-RAE",
            "prefix": "MRS.",
            "credential": "AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.