Active NPI
Danielle Renee Conlon, FNP-C
- Family Nurse Practitioner
- Polk City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11011492
- Practice address
- 15460 Rockridge Rd
Polk City, FL 33868-7640 - Phone
- (330) 605-0235
- NPI assigned
- Feb 8, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11011492 | FL | Primary |
Addresses
Primary practice location
15460 Rockridge Rd
Polk City, FL 33868-7640
Mailing address
15460 Rockridge Rd
Polk City, FL 33868-7640
Phone (330) 605-0235
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 297-1800
2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 533-8111
Hospital & facility affiliations
- Winter Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Quality
- 88.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011492 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Current | Accepting new patients | |
| Polk Emergency Group LLC | Current | Accepting new patients |
Locations
2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Bartow, FL
- NPI 1558338574
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1215529672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15460 ROCKRIDGE RD",
"city": "POLK CITY",
"state": "FL",
"postal_code": "338687640",
"telephone_number": "330-605-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15460 ROCKRIDGE RD",
"city": "POLK CITY",
"state": "FL",
"postal_code": "338687640",
"telephone_number": "330-605-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "DANIELLE",
"middle_name": "RENEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11011492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Polk City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.