Christine M Womack, ARNP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Trinity, FL
NPI 1386205185 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1386205185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN11003184 (FL)
- Practice address
- 3633 Little Rd Ste 103
Trinity, FL 34655-1815 - Phone
- (352) 293-2810
- Fax
- (727) 264-2117
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Hospital Medicine Services of FL, LLC
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
6500 38TH Ave N
St. Petersburg General Hospital
St. Petersburg, FL 33710-1629
Phone (727) 384-1414
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Deland
- Adventhealth Daytona Beach
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808000494 | FL | Practitioner - Nurse Practitioner | 1456688878 | Reassigns benefits to 3 organizations |
| I20241001001887 | AZ | Practitioner - Nurse Practitioner | 1456688878 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003184 | FL | MD | Adult Health Nurse Practitioner |
Practice roles (9 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Solutions Inc. | Current |
Accepting new patients | |
| Advanced Diagnostic Solutions Inc | Current |
Accepting new patients | |
| Apogee Medical Group Inc | Current |
Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current |
Accepting new patients | |
| Odessa Capital LLC | Adult Health | Current | Accepting new patients |
| Apogee Medical Group Inc | Current |
Accepting new patients | |
| Advanced Diagnostic Solutions Inc | Current |
Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current |
Accepting new patients | |
| Bay Area Gastroenterology Associates LLC | Past |
Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
6125 Sherwin Dr
Port Richey, FL 34668
Phone (352) 293-2810
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
3633 Little Rd
Ste 103
Trinity, FL 34655
Phone (352) 293-2810
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEACDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11003184 | FL | Yes |
Addresses
Primary practice location
3633 Little Rd Ste 103
Trinity, FL 34655-1815
Mailing address
3633 Little Rd Ste 103
Trinity, FL 34655-1815
Phone (727) 633-0003
Other providers in Trinity, FL
- Jason Wilson
- Casey A Winslow
- Leeann Wisnowski
- Christopher J Wittmann
- Craig Robert Wolff
- Womens Care Florida LLP
- Womens Care Florida LLP
- Janae Wood
- Don Joseph Woody
- Workman Enterprises LLC
All providers in Trinity, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.