Individual provider Active NPI

Donna L McCutchan, ARNP

  • Primary Care Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1245757053
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9312945 Issued in FL
Practice address
1043 Town Center Dr
Orange City, FL 32763-8360
Phone
(386) 774-0188
NPI assigned
Aug 23, 2017
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9312945 FL Primary

Addresses

Primary practice location

1043 Town Center Dr
Orange City, FL 32763-8360

Mailing address

1043 Town Center Dr
Orange City, FL 32763-8360
Phone (386) 774-0188

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
I20180606000268 FL Practitioner - Nurse Practitioner 6103181565 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9312945FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saxon Internal Medicine P a CurrentSince Sep 2, 2024 Accepting new patients
Town Center Family Practice Inc CurrentSince Apr 16, 2023 Accepting new patients
Florida Health Care Plan, Inc PastSince Jun 6, 2021 Accepting new patients

Locations

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1642 N Volusia Ave
Orange City, FL 32763
Phone (386) 232-9288

2574 S Volusia Ave
Orange City, FL 32763
Phone (386) 774-2999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHACA/Endpoint/BFHACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBCAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1245757053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-774-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 TOWN CENTER DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638360",
            "telephone_number": "386-774-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHAN",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9312945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.