Organization Active NPI

Advanced Primary Care Associates, P.a.

  • Family Nurse Practitioner
  • Eustis, FL
National Provider Identifier
1265819130
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9242919 Issued in FL
Legal business name
ADVANCED PRIMARY CARE ASSOCIATES, P.A.
Practice address
1101 S Eustis St
Eustis, FL 32726-5558
Phone
(352) 589-9661
Fax
(352) 589-5983
NPI assigned
Apr 29, 2015
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Aimee Gilmet, ARNP-CNPI 1578809141
Title
Owner
Phone
(352) 589-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9242919 FL Primary

Addresses

Primary practice location

1101 S Eustis St
Eustis, FL 32726-5558

Mailing address

1101 S Eustis St
Eustis, FL 32726-5558

Other identifiers 1

IdentifierTypeStateIssuer
1578809141OtherNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618002449 FL Part B Supplier - Clinic/Group Practice 4688985591 Receives reassigned benefits from 4 practitioners
Practice locations: Eustis, FL

National Provider Directory

National Provider Directory

Locations

720 N Bay St
Ste 11
Eustis, FL 32726
Phone (352) 483-1600

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1265819130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558",
            "telephone_number": "352-589-9661",
            "fax_number": "352-589-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRIMARY CARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GILMET",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-589-9661",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9242919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578809141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.