Clyde William Renfroe, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11017161 Issued in FL

Practice address

22829 State Road 54
Land O Lakes, FL 34639-5227

Phone

(813) 915-5459

Fax

(813) 345-8172

NPI assigned

Feb 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adventist Health System Sunbelt IncGroup PAC ID 3274657721, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crenfroe448316@adventhealth.direct-ci.com

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.

• Adventist Health System Sunbelt Inc

  dba AdventHealth Primary Care Plus

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  Medicare reassignment Care Compare group NPD
• Adventist Health System Sunbelt, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610

  Family

  Medicare reassignment NPD
• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Nurse Practitioner

  Medicare reassignment NPD
• Adventist Health System/ Sunbelt, Inc.

  dba AdventHealth Centra Care - Southern Trace

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Family

  NPD
• Adventist Health System/Sunbelt Inc.

  dba AdventHealth Centra Care - Lake Nona

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1316445471

  Family

  NPD
• Adventist Health System/Sunbelt, Inc

  dba AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Oviedo

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114
  NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Total Health Management Primary Care Plus - St. Cloud

  • Family Medicine Physician
  • Saint Cloud, FL
  • NPI 1851825343
  NPD

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1275288060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22829 STATE ROAD 54",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395227",
            "telephone_number": "813-915-5459",
            "fax_number": "813-345-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22829 STATE ROAD 54",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395227",
            "telephone_number": "813-915-5459",
            "fax_number": "813-345-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "CLYDE",
        "middle_name": "WILLIAM",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Rae Redmon, APRN,MSN,FNP-C
• Katrina Reid, RN
• Reign Counseling Services, LLC
• Remedi Nail Spa LLC
• Renato J. Aves, LLC (Tampa Bay Institute of Oral Surgery & Dental Implants)
• Melissa E Rentas, LMHC
• Revive Wellness Group, LLC
• Elianna Reynolds, PA-C
• Leighya J Richard, LMHC
• Jennifer Anne Richardson, PSY.D.

• Family Nurse Practitioner in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.