Individual provider Active NPI

Lori Haley Muder, ARNP

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1215443536
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9227315 Issued in FL
Practice address
1834 SW 1St Ave Ste 101
Ocala, FL 34471-8101
Phone
(352) 732-5552
Fax
(352) 732-1131
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9227315 FL Primary

Addresses

Primary practice location

1834 SW 1St Ave Ste 101
Ocala, FL 34471-8101

Mailing address

1834 SW 1St Ave
Ste 101
Ocala, FL 34471-8101
Phone (352) 732-5552

Other practice location 1

2275 SW 22nd Ln
Ocala, FL 34471-7710
Phone (352) 414-7212

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
I20180316001931 FL Practitioner - Nurse Practitioner 3375805005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Lung and Critical Care Assocates IncGroup PAC ID 4587651492, 19 clinicians

Practice addresses (Care Compare)

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone (352) 732-5552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9227315FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Lung & Critical Care Assocates Inc CurrentSince Feb 15, 2018 Accepting new patients

Locations

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

10969 SE 175th Pl
Ste 200
Summerfield, FL 34491
Phone (352) 307-3804

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: olcc.lorimuder@154056.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1215443536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718101",
            "telephone_number": "352-732-5552",
            "fax_number": "352-732-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718101",
            "telephone_number": "352-732-5552",
            "fax_number": "352-732-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 SW 22nd Ln",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344717710",
            "country_code": "US",
            "telephone_number": "352-414-7212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUDER",
        "first_name": "LORI",
        "middle_name": "HALEY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9227315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.