Individual provider Active NPI

Inna Anderson

  • Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1346607116
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3283282 Issued in FL
Practice address
2745 Rebecca LN
Orange City, FL 32763-8333
Phone
(386) 775-2012
Fax
(386) 775-2013
NPI assigned
Jan 25, 2016
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3283282 FL Primary

Addresses

Primary practice location

2745 Rebecca LN
Orange City, FL 32763-8333

Mailing address

2745 Rebecca LN
Orange City, FL 32763-8333
Phone (386) 775-2012

Other practice location 1

6294 Bahia Del Mar Cir Apt 401
unit 401
St Petersburg, FL 33715-1086
Phone (727) 864-2628

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
I20171025001037 FL Practitioner - Nurse Practitioner 2961778675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Central Florida Bone and Joint Institute PLLCGroup PAC ID 5890075139, 7 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2745 Rebecca LN
Orange City, FL 32763-8333
Phone (386) 775-2012

4106 W Lake Mary Blvd
Suite 330
Lake Mary, FL 32746-3383
Phone (386) 775-2012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.69 of 100Reported as group
Quality
84.22
Promoting interoperability
86
Improvement activities
40
Cost
69.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3283282FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Bone and Joint Institute, PLLC Nurse Practitioner CurrentSince Jun 28, 2017 Accepting new patients
Central Florida Bone and Joint Institute, PLLC Nurse Practitioner CurrentSince Jun 28, 2017 Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 330
Lake Mary, FL 32746
Phone (386) 775-2012

917 Rinehart Rd
Ste 2031
Lake Mary, FL 32746
Phone (386) 774-2121

1639 N Volusia Ave
#B
Orange City, FL 32763
Phone (386) 775-2012

2745 Rebecca Ln
Orange City, FL 32763
Phone (386) 775-2012

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1346607116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 REBECCA LN",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638333",
            "telephone_number": "386-775-2012",
            "fax_number": "386-775-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 REBECCA LN",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638333",
            "telephone_number": "386-775-2012",
            "fax_number": "386-775-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6294 Bahia Del Mar Cir Apt 401",
            "address_2": "unit 401",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337151086",
            "country_code": "US",
            "telephone_number": "727-864-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "INNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3283282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.