Active NPI
Janet M Farrelly
- Psychiatric/Mental Health Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9494357
- Practice address
- 1220 Willis Ave
Daytona Beach, FL 32114-2810 - Phone
- (800) 539-4228
- NPI assigned
- Oct 23, 2018
- Last updated
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9494357 | FL | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 9494357 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9494357 | FL | Primary |
Addresses
Primary practice location
1220 Willis Ave
Daytona Beach, FL 32114-2810
Mailing address
150 Magnolia Ave
Daytona Beach, FL 32114-4304
Phone (862) 363-2253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN9494357 | Other | FL | FL STATE LICENSE |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
330 Kay Larkin Dr
Palatka, FL 32177-2307
Phone (800) 539-4228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9494357 | FL | MD | Family Nurse Practitioner |
| 9494357 | FL | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Single Specialty | Current | Accepting new patients |
| Brave Health Inc. | Single Specialty | Current | Accepting new patients |
| Assessments Inc | Single Specialty | Past | Accepting new patients |
| Epic Community Services, Inc | Single Specialty | Past | Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
105 W Calvin St
Deland, FL 32720
Phone (386) 236-3290
1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749
330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
-
- Community/Behavioral Health Agency
- St Augustine, FL
- NPI 1831279280
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1174099550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MAGNOLIA AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144304",
"telephone_number": "862-363-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 WILLIS AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142810",
"telephone_number": "800-539-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELLY",
"first_name": "JANET",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9494357",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "FL",
"license": "9494357",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9494357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE LICENSE",
"identifier": "APRN9494357",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.