Individual provider Active NPI

Jilann Lietz, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Inverness, FL
National Provider Identifier
1225700628
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015361 Issued in FL
Practice address
2401 Forest Dr
Inverness, FL 34453-3720
Phone
(352) 344-3777
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11015361 FL Primary

Addresses

Primary practice location

2401 Forest Dr
Inverness, FL 34453-3720

Mailing address

2401 Forest Dr
Inverness, FL 34453-3720
Phone (352) 344-3777

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
I20211022002023 FL Practitioner - Nurse Practitioner 4587052642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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

  • Vitalcaring Group Home health agency, Crystal River, FL, CCN 108043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Lung & Critical Care Assocates Inc CurrentSince Jun 5, 2023 Accepting new patients
Faith in Home PLLC CurrentSince Sep 19, 2021 Accepting new patients
Joshua a Summers MD PA CurrentSince Sep 19, 2021 Accepting new patients

Locations

2401 Forest Dr
Inverness, FL 34453
Phone (352) 344-3777

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

1834 SW 1st Ave
Ocala, FL 34471
Phone (352) 450-3222

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jilann.lietz@aacf.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECICAD
  • Direct secure messaging: olcc.jilannlietz@154056.advancedmd-direct.com

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.

Hospital & facility affiliations 2

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1225700628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIETZ",
        "first_name": "JILANN",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.