Individual provider Active NPI

Renee Kelsie Fermin

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1346063617
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7960 SW 60TH Ave
Ocala, FL 34476-6408
Phone
(352) 671-6741
NPI assigned
Nov 5, 2024
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7960 SW 60TH Ave
Ocala, FL 34476-6408

Mailing address

7960 SW 60TH Ave
Ocala, FL 34476-6408

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
I20260212003225 FL Practitioner - Physician Assistant 6406336122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9425 Delegates Row
Indianapolis, IN 46240-3805

PO Box
Suite 82969
Tampa, FL 33682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers, Inc CurrentSince Jan 8, 2026 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jan 8, 2026 Accepting new patients
Tampa Family Health Centers Inc Past Accepting new patients
Kids Health Alliance PA PastSince Jan 22, 2023 Accepting new patients
Premier Pediatrics Past Accepting new patients
Premier Pediatrics LLC Past Accepting new patients
Premier Pediatrics LLC PastSince Jan 22, 2023 Accepting new patients

Locations

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

Organizations & group practices 7

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": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1346063617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766408",
            "telephone_number": "352-671-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "RENEE",
        "middle_name": "KELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.