Individual provider Active NPI

Adrienne Smith, APRN, FNP-C

  • Family Nurse Practitioner
  • Dunnellon, FL
National Provider Identifier
1245948132
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022949 Issued in FL
Practice address
20021 SW 111TH PL
Dunnellon, FL 34432-4786
Phone
(352) 465-1199
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 APRN11022949 FL Primary

Addresses

Primary practice location

20021 SW 111TH PL
Dunnellon, FL 34432-4786

Mailing address

20021 SW 111TH PL
Dunnellon, FL 34432-4786
Phone (352) 465-1199

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
I20231215003465 FL Practitioner - Nurse Practitioner 9830548833 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Associates P a CurrentSince Nov 1, 2023 Accepting new patients
Norman S Novis MD PA CurrentSince Feb 16, 2025 Accepting new patients
West Florida Medical Associates, PA CurrentSince Nov 1, 2023 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Panzer Concierge Medicine LLC Family PastSince Nov 12, 2023 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

20021 SW 111th Pl
Dunnellon, FL 34432
Phone (352) 465-1199

41 N Inglis Ave
Inglis, FL 34449
Phone (352) 447-3031

801 Highway 466
Ste B101
Lady Lake, FL 32159
Phone (352) 459-8121

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1245948132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20021 SW 111TH PL",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344324786",
            "telephone_number": "352-465-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20021 SW 111TH PL",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344324786",
            "telephone_number": "352-465-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADRIENNE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

Verify at the official NPI Registry.