Individual provider Active NPI

Rebecca Lynn O'Donnell, PA-C

  • Physician Assistant
  • Apopka, FL
National Provider Identifier
1346919123
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114990 Issued in FL
Practice address
2100 Ocoee Apopka Rd Ste 210
Apopka, FL 32703-9210
Phone
(407) 609-7391
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114990 FL Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

2100 Ocoee Apopka Rd Ste 210
Apopka, FL 32703-9210

Mailing address

1217 Salerno CT
Orlando, FL 32806-5565
Phone (724) 816-5454

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
I20211111001483 FL Practitioner - Physician Assistant 9335538479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC CurrentSince Jul 26, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 13, 2023 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Jul 26, 2022 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Feb 13, 2023 Accepting new patients

Locations

2100 Ocoee Apopka Rd
Ste 210
Apopka, FL 32703
Phone (407) 609-7391

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rodonnell954058@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1346919123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SALERNO CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065565",
            "telephone_number": "724-816-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 OCOEE APOPKA RD STE 210",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039210",
            "telephone_number": "407-609-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114990",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.