Individual provider Active NPI

Mina Serena Manaog Reburiano, APRN

  • Family Nurse Practitioner
  • Citrus Springs, FL
National Provider Identifier
1285472795
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035516 Issued in FL
Practice address
10489 N Florida Ave
Citrus Springs, FL 34434-3268
Phone
(352) 489-2486
Fax
(352) 489-5786
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9522281 FL
Family Nurse Practitioner 363LF0000X 11035516 FL Primary

Addresses

Primary practice location

10489 N Florida Ave
Citrus Springs, FL 34434-3268

Mailing address

3831 W Crystal Downs Path
Lecanto, FL 34461-7824
Phone (929) 423-6782

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
I20250311002225 FL Practitioner - Nurse Practitioner 3274054895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9522281FLMDRegistered Nurse
11035516FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Associates, PA CurrentSince Feb 4, 2025 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Mar 22, 2025 Accepting new patients
West Florida Medical Associates P a Registered Nurse CurrentSince Feb 4, 2025 Accepting new patients

Locations

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

3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227

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

10489 N Florida Ave
Citrus Springs, FL 34434
Phone (352) 344-8080

7991 S Suncoast Blvd
Homosassa Springs, FL 34446
Phone (352) 344-8080

2333 N Brentwood Cir
Lecanto, FL 34461
Phone (352) 746-6600

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1285472795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 W CRYSTAL DOWNS PATH",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617824",
            "telephone_number": "929-423-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10489 N FLORIDA AVE",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344343268",
            "telephone_number": "352-489-2486",
            "fax_number": "352-489-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBURIANO",
        "first_name": "MINA SERENA",
        "middle_name": "MANAOG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9522281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Springs, FL

Sources for this page

Verify at the official NPI Registry.