Individual provider Active NPI

Jessica Hoag, APRN

  • Family Nurse Practitioner
  • Lecanto, FL
National Provider Identifier
1235828153
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11026182 Issued in FL
Practice address
1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone
(352) 527-6888
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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 11026182 FL Primary

Addresses

Primary practice location

1990 N Prospect Ave
Lecanto, FL 34461-9792

Mailing address

8778 E Orange Ave
Floral City, FL 34436-4738
Phone (352) 805-8050

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
I20230630000541 FL Practitioner - Nurse Practitioner 3577922046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric and Internal Medicine Specialists IncGroup PAC ID 4486672391, 15 clinicians

Practice addresses (Care Compare)

1980 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

3580 E Gulf to Lake Hwy
Inverness, FL 34453-3207
Phone (352) 527-6888

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11026182FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Internal Medicine Specialists Inc CurrentSince May 5, 2023 Accepting new patients
Pediatric and Internal Medicine Specialists Inc CurrentSince May 5, 2023 Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Pedim Outreach and Specialty Clinic LLC PastSince Sep 1, 2016 Accepting new patients

Locations

1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858

2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888

Organizations & group practices 9

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 5

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1235828153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 E ORANGE AVE",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344364738",
            "telephone_number": "352-805-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N PROSPECT AVE",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619792",
            "telephone_number": "352-527-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.