Lillian E Hummer, RN, BSN, PAC, CNM

Individual provider Active NPI Advanced Practice Midwife · Trenton, FL

NPI 1306348222 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1306348222
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
ARNP2137392 (FL)
Practice address
911 S Main St
Trenton, FL 32693-3239
Phone
(352) 463-2374
Fax
(352) 463-2726
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180817002445 FL Practitioner - Certified Nurse Midwife (CNM) 3678822087 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Bachelor on Science - Nursing, Certified Nurse Midwife, Registered Nurse

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Current
since Jul 1, 2018
Accepting new patients
Florida Clinical Practice Association Inc Current
since Jul 1, 2018
Accepting new patients
Trenton Medical Center Inc Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

4037 NW 86th Ter
Fl 2
Gainesville, FL 32606
Phone (352) 265-0820

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496

922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lhummer74293@direct.shands.ufl.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP2137392 FL Yes

Addresses

Primary practice location

911 S Main St
Trenton, FL 32693-3239

Mailing address

PO Box 26029
Tampa, FL 33623-6029

Other practice location 1

103 US Highway 27 SW
Branford, FL 32008-2767
Phone (386) 935-3090

Other practice location 2

410 N Main Street
Stuit 1 and 2
Chiefland, FL 32626-1951
Phone (352) 493-7274

Other providers in Trenton, FL

All providers in Trenton, FL · Advanced Practice Midwife in Florida

Sources for this page

Verify at the official NPI Registry.