Individual provider Active NPI

Janice Chaneco Ipo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1184440646
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11036571 Issued in FL
Practice address
11371 Cortez Blvd Ste 210
Brooksville, FL 34613-5410
Phone
(239) 690-6906
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11036571 FL Primary

Addresses

Primary practice location

11371 Cortez Blvd Ste 210
Brooksville, FL 34613-5410

Mailing address

11371 Cortez Blvd Ste 210
Brooksville, FL 34613-5410
Phone (239) 690-6906

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
I20250214002466 FL Practitioner - Nurse Practitioner 8426588732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11371 Cortez Blvd
Suite 210
Brooksville, FL 34613-5410
Phone (352) 616-7600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC CurrentSince Oct 29, 2025 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Oct 29, 2025 Accepting new patients
Ashit K Vijapura MD PA CurrentSince Feb 10, 2025 Accepting new patients

Locations

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

802 W Dr Martin Luther King Jr Blvd
Ste D
Plant City, FL 33563
Phone (813) 707-9101

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

8839 Bryan Dairy Rd
Ste 310
Seminole, FL 33777
Phone (727) 446-5681

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Organizations & group practices 3

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": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1184440646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11371 CORTEZ BLVD STE 210",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135410",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11371 CORTEZ BLVD STE 210",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135410",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPO",
        "first_name": "JANICE",
        "middle_name": "CHANECO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11036571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.