Individual provider Active NPI

Ann Marie O'Shall, APRN FNP BC-C

  • Family Nurse Practitioner
  • Lecanto, FL
National Provider Identifier
1174156855
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006199 Issued in FL
Practice address
1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone
(352) 527-6888
Fax
(352) 527-8818
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 APRN11006199 FL Primary

Addresses

Primary practice location

1990 N Prospect Ave
Lecanto, FL 34461-9792

Mailing address

PO Box 2066
Lecanto, FL 34460-2066
Phone (352) 563-0931

Other identifiers 1

IdentifierTypeStateIssuer
105693100MedicaidFL

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
I20200813002901 FL Practitioner - Nurse Practitioner 6800212366 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006199FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Care Med, LLC CurrentSince Aug 25, 2020 Accepting new patients
Quick Care Med LLC CurrentSince Aug 25, 2020 Accepting new patients
Pedim Outreach and Specialty Clinic LLC CurrentSince Jan 27, 2021 Accepting new patients
Pediatric and Internal Medicine Specialists Inc CurrentSince May 8, 2020 Accepting new patients
Pediatric and Internal Medicine Specialists Inc CurrentSince May 8, 2020 Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients

Locations

3925 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 527-7336

2205 N Young Blvd
Chiefland, FL 32626
Phone (352) 535-2273

659 SE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911

659 NE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911

11371 N Williams St
Ste 4
Dunnellon, FL 34432
Phone (352) 465-2273

3956 S Suncoast Blvd
Homosassa, FL 34448
Phone (352) 628-0911

1907 Highway 44 W
Inverness, FL 34453
Phone (352) 344-2273

1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888

2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858

8119 SW Highway 200
Ocala, FL 34481
Phone (352) 854-9355

514 W Noble Ave
Williston, FL 32696
Phone (352) 528-9355

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1174156855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602066",
            "telephone_number": "352-563-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888",
            "fax_number": "352-527-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHALL",
        "first_name": "ANN MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP BC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105693100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.