Active NPI
Candace A Chapuseaux, A.R.N.P.
- Adult Health Nurse Practitioner
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP 9223166
- Practice address
- 511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326 - Phone
- (352) 728-6808
- Fax
- (352) 728-3637
- NPI assigned
- Aug 31, 2005
- Last updated
- Jan 29, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP 9223166 | FL | Primary |
Addresses
Primary practice location
511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326
Mailing address
511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7326
Phone (352) 728-6808
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971
212 S Florida St
Bushnell, FL 33513-6703
Phone (352) 793-2441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9223166 | FL | MD | Adult Health Nurse Practitioner |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Bushnell, FL
- NPI 1629278882
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Freedom Pointe Health Center
- Skilled Nursing Facility
- Lady Lake, FL
- NPI 1457587818
Nursing home
-
dba Rehab at Home
- Home Health Agency
- Leesburg, FL
- NPI 1073905832
-
- Home Health Agency
- The Villages, FL
- NPI 1982933321
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1174517510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR",
"address_2": "SUITE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487326",
"telephone_number": "352-728-6808",
"fax_number": "352-728-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MEDICAL PLAZA DR",
"address_2": "SUITE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487326",
"telephone_number": "352-728-6808",
"fax_number": "352-728-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPUSEAUX",
"first_name": "CANDACE",
"middle_name": "A",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP 9223166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.