NPIMap

Organization Active NPI

Okeechobee Hospital, Inc.

Doing business as HCA Florida Raulerson Hospital

  • General Acute Care Hospital
  • Okeechobee, FL
National Provider Identifier
1215974134
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
OKEECHOBEE HOSPITAL, INC.
Doing business as
HCA Florida Raulerson Hospital
Practice address
1796 Highway 441 N
Okeechobee, FL 34972-1918
Phone
(863) 763-2151
Fax
(941) 763-7753
NPI assigned
May 31, 2006
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
John Jacobson
Title
Cfo
Phone
(863) 763-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1796 Highway 441 N
Okeechobee, FL 34972-1918

Mailing address

PO Box 1307
Okeechobee, FL 34973-1307
Phone (863) 763-2151

Other identifiers 6

IdentifierTypeStateIssuer
288OtherFLBLUE CROSS
227011OtherFLAVMED
000231536XMedicaidGA
11975000MedicaidFL
HCA0252NMedicaidAL
109966OtherFLAMERIGROUP

Other names 1

  • HCA Florida Raulerson Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address RAULERSON.COCQR.FLK@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070801000186 FL Part A Provider - Hospital 7810088143 Practice locations: Okeechobee, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215974134. Details of each certification follow.

Hospital certification: CCN 100252

Legal name
OKEECHOBEE HOSPITAL, INC.
Doing business as
HCA FLORIDA RAULERSON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 9, 1979
Last certification
Jul 15, 2022
Beds
100
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
1796 US Highway 441 N
Okeechobee, FL 34972-1918
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
HCA Florida Raulerson HospitalCCN 100252 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0299458HCA Florida Raulerson Hospital1796 Highway 441 North, Okeechobee, FL 34972AccreditationNov 30, 2027

National Provider Directory

National Provider Directory

Locations

1926 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 763-2663

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Interoperability endpoints

  • Direct secure messaging: raulerson.cocqr.flk@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 39

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael McAlevey Individual Corporate Officer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Jaime L Derensis Individual Corporate Director Nov 4, 2020
Richard Read Individual Corporate OfficerOfficer Jan 1, 2023
HCA Inc Organization, Nashville, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 29, 2007 100%
John M Franck Individual Corporate Officer Jun 29, 2007
Corporate Director Jun 29, 2007
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual W-2 Managing EmployeeHome Office Administator Mar 10, 2021
Operational/Managerial ControlHome Office Administrator Mar 12, 2021
HCA Healthcare Inc Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 27, 2011 100%
Henry Todd Maxwell Individual Corporate Officer Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Officer Apr 18, 2016
Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Director Jan 1, 2010
Richard Hammett Individual Corporate Officer Dec 31, 2022
John M Hackett Individual Corporate Officer Apr 18, 2016
John Jacobson Individual W-2 Managing EmployeeCfo Dec 4, 2023
Operational/Managerial ControlCfo Dec 4, 2023
Hercules Holding II Organization, Boston, MA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 17, 2006 14.4%
Samuel N Hazen Individual Corporate Officer Jun 27, 2011
Corporate Director Jun 27, 2011
Ronald Lee Grubbs Individual Corporate Director Jan 1, 2010
Monica Cintado Individual Corporate OfficerOfficer Oct 7, 2019
Alex Masmela Individual Corporate OfficerCeo Mar 20, 2026
W-2 Managing EmployeeCeo Mar 20, 2026
Operational/Managerial ControlCeo Mar 20, 2026
Jon Foster Individual Corporate OfficerOfficer Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 29, 2007 100%
Hospital Corp LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 29, 2007 100%
Seth a Killingbeck Individual Corporate Officer Aug 10, 2012
Ricardo Pavon Individual Corporate Director Apr 18, 2016
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Michael T Bray Individual Corporate Director Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerOfficer Sep 5, 2025
Peter J Rossell Individual Corporate OfficerOfficer Jan 1, 2023
Charles E Gressle Individual Corporate OfficerOfficer Dec 1, 2019
Michael a Marks Individual Corporate OfficerOfficer Sep 5, 2025
Edwin W Robinson Individual Corporate OfficerOfficer Sep 5, 2025
Brad Ej Spicer Individual Corporate OfficerOfficer Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Deborah H Mullin Individual Corporate Director Jan 1, 2010

Facilities with the same owner 144

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 166

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 166

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1215974134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349731307",
            "telephone_number": "863-763-2151",
            "fax_number": "941-763-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 HIGHWAY 441 N",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721918",
            "telephone_number": "863-763-2151",
            "fax_number": "941-763-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEECHOBEE HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-763-2151"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "288",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "227011",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000231536X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11975000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCA0252N",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "109966",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAULERSON.COCQR.FLK@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received",
            "address_1": "1796 US Highway 441 N",
            "city": "Okeechobee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349721918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Raulerson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.