Individual provider Active NPI

Yasmin B Panjwani, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1194266080
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3213962 Issued in FL
Practice address
1554 N Meadowcrest Blvd
Crystal River, FL 34429-5756
Phone
(352) 315-7500
NPI assigned
Mar 13, 2017
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN3213962 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3213962 FL Primary

Addresses

Primary practice location

1554 N Meadowcrest Blvd
Crystal River, FL 34429-5756

Mailing address

PO Box 10970
Saint Petersburg, FL 33733-0970
Phone (727) 327-7656

Other practice location 1

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL suncoastcenter.org

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
I20180110002688 FL Practitioner - Nurse Practitioner 2163781584 Reassigns benefits to 10 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Family CurrentSince Jul 6, 2020 Accepting new patients
MCR Health, Inc. Family CurrentSince Aug 11, 2022 Accepting new patients
Balanced Wellbeing LLC CurrentSince Apr 1, 2022 Accepting new patients
Sgars Holdings PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Dec 1, 2017 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Dec 1, 2017 Accepting new patients
Sgars Holdings PLLC CurrentSince Jul 1, 2024 Accepting new patients
Suncoast Center, Inc. CurrentSince Jun 18, 2024 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Sep 13, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Aug 11, 2022 Accepting new patients
Personal Recovery Network LLC CurrentSince Jun 19, 2023 Accepting new patients
Lifestream Behavioral Center Inc CurrentSince Nov 16, 2021 Accepting new patients
Yasmin Insight Health LLC Psychiatric/Mental Health Current Accepting new patients
Post Acute Specialists of Florida PLLC Family CurrentSince Mar 18, 2024 Accepting new patients
West Coast Medical Associates PastSince Mar 24, 2024 Accepting new patients
West Coast Medical Associates, Pasco, P.a. PastSince Oct 1, 1997 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

1554 N Meadowcrest Blvd
Crystal River, FL 34429
Phone (352) 228-4470

608 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 971-7084

215 N 3rd St
Leesburg, FL 34748
Phone (352) 315-7900

18923 State Road 54
Lutz, FL 33558
Phone (813) 803-7150

2943 Allegra Way
Lutz, FL 33559
Phone (813) 922-1525

2949 Allegra Way
Lutz, FL 33559
Phone (201) 893-6136

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

4024 Central Ave
St Petersburg, FL 33711

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

16554 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 517-5989

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1194266080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10970",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337330970",
            "telephone_number": "727-327-7656",
            "fax_number": "727-594-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 N MEADOWCREST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295756",
            "telephone_number": "352-315-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANJWANI",
        "first_name": "YASMIN",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3213962",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3213962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "suncoastcenter.org",
            "affiliation": "N",
            "address_1": "4024 Central Ave",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337111239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.