Individual provider Active NPI

Lynn Demeter, FNP-C

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1376180851
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005188 Issued in FL
Practice address
800 N Maitland Ave Ste 103
Maitland, FL 32751-4499
Phone
(407) 660-7100
Fax
(407) 277-8168
NPI assigned
Dec 4, 2019
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 11005188 FL
Family Nurse Practitioner 363LF0000X APRN11005188 FL Primary

Addresses

Primary practice location

800 N Maitland Ave Ste 103
Maitland, FL 32751-4499

Mailing address

800 N Maitland Ave
Maitland, FL 32751-4489
Phone (407) 660-7100

Other practice location 1

249 Maitland Ave Ste 1000
Altamonte Springs, FL 32701-4908
Phone (407) 332-6366

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://athenanet.athenahealth.com/14252/ Health Information Exchange (HIE)

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
I20211014001973 FL Practitioner - Nurse Practitioner 4981002300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

800 N Maitland Ave
Suite 102
Maitland, FL 32751-4499
Phone (407) 660-7010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005188FLMDFamily Nurse Practitioner
APRN11005188FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew E Krupitsky DO PA CurrentSince Nov 1, 2021 Accepting new patients
Multicare Physicians PSC CurrentSince Aug 1, 2020 Accepting new patients
Orlando Physicians Network Inc CurrentSince Feb 19, 2024 Accepting new patients
Physician Associates LLC PastSince Feb 11, 2024 Accepting new patients

Locations

249 Maitland Ave
Ste 1000
Altamonte Springs, FL 32701
Phone (407) 332-6366

2605 W Lake Mary Blvd
Ste 119
Lake Mary, FL 32746
Phone (407) 302-1331

800 N Maitland Ave
Ste 102
Maitland, FL 32751
Phone (407) 660-7000

800 N Maitland Ave
Ste 103
Maitland, FL 32751
Phone (407) 660-7011

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12693/brand/2/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14252/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1376180851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514489",
            "telephone_number": "407-660-7100",
            "fax_number": "407-277-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514499",
            "telephone_number": "407-660-7100",
            "fax_number": "407-277-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "249 Maitland Ave Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014908",
            "country_code": "US",
            "telephone_number": "407-332-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMETER",
        "first_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-02-05",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://athenanet.athenahealth.com/14252/",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2605 W Lake Mary Blvd Ste 119",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327463568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.