Active NPI
Evelyn Rose Warren
- Adult Health Nurse Practitioner
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11006206
- Practice address
- 3456 Neaptide Path
The Villages, FL 32163-6370 - Phone
- (352) 804-4108
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9445381 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11006206 | FL | Primary |
Addresses
Primary practice location
3456 Neaptide Path
The Villages, FL 32163-6370
Mailing address
3456 Neaptide Path
The Villages, FL 32163-6370
Phone (352) 804-4108
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
146 SW Orthopedic CT
Lake City, FL 32024-0672
Phone (386) 755-9215
1710 SE 16TH Ave
Ocala, FL 34471-4656
Phone (352) 620-1900
17270 SE 109TH Terrace Rd
Summerfield, FL 34491-9015
Phone (352) 633-7222
2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378
2955 Brownwood Blvd
Suite 403
The Villages, FL 32163-2040
Phone (352) 336-6000
8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9445381 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthopaedic Institute PA | Current | Accepting new patients | |
| The Orthopaedic Institute, PA | Current | Accepting new patients |
Locations
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215
17270 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 336-0000
2955 Brownwood Blvd
Ste 403
The Villages, FL 32163
Phone (352) 674-8700
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 and National Provider Directory roles.
-
dba The Orthopaedic Institute
- Orthopaedic Surgery Physician
- Gainesville, FL
- NPI 1740373547
-
- Orthopaedic Surgery Physician
- Jupiter, FL
- NPI 1992569198
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Ocala Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1346871597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3456 NEAPTIDE PATH",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321636370",
"telephone_number": "352-804-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 NEAPTIDE PATH",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321636370",
"telephone_number": "352-804-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "EVELYN",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9445381",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11006206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.