Individual provider Active NPI

Diane Elaine Schroettinger, ARNP-BC

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1326329848
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 1586592 Issued in FL
Practice address
839 N Orlando Ave
Winter Park, FL 32789-2921
Phone
(407) 647-1862
NPI assigned
Aug 30, 2011
Last updated
Apr 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 1586592 FL Primary
Family Nurse Practitioner 363LF0000X 1586592 FL

Addresses

Primary practice location

839 N Orlando Ave
Winter Park, FL 32789-2921

Mailing address

839 N Orlando Ave
Winter Park, FL 32789-2921
Phone (407) 647-1862

Other practice location 1

13454 S. Orange Blossom Trl
Orlando, FL 32837
Phone (407) 240-3191 ext. 8221

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
I20111004000487 FL Practitioner - Nurse Practitioner 0749452381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727

839 N Orlando Ave
Winter Park, FL 32789-2921
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1586592FLMDFamily Nurse Practitioner
ARNP 1586592FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Nov 18, 2013 Accepting new patients
Holiday CVS L.L.C. Past Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

839 N Orlando Ave
Winter Park, FL 32789
Phone (407) 647-1862

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1326329848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892921",
            "telephone_number": "407-647-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N ORLANDO AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892921",
            "telephone_number": "407-647-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13454 S. Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32837",
            "country_code": "US",
            "telephone_number": "407-240-3191 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROETTINGER",
        "first_name": "DIANE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 1586592",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1586592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.