Individual provider Active NPI

Dana Marie Ivester, ARNP

  • Nurse Practitioner
  • Crawfordville, FL
National Provider Identifier
1396452363
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11022620 Issued in FL
Practice address
2382 Crawfordville Hwy
Crawfordville, FL 32327-1091
Phone
(850) 926-6363
NPI assigned
Oct 31, 2022
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 11022620 FL Primary

Addresses

Primary practice location

2382 Crawfordville Hwy
Crawfordville, FL 32327-1091

Mailing address

2382 Crawfordville Hwy
Crawfordville, FL 32327-1091
Phone (850) 926-6363

Other practice location 1

38 Quail Ct
Crawfordville, FL 32327-5211
Phone (850) 210-5192

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
I20230602002150 FL Practitioner - Nurse Practitioner 6305203522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Regional Healthcare LLCGroup PAC ID 4486724846, 20 clinicians

Practice addresses (Care Compare)

2382 Crawfordville Hwy
Suite C
Crawfordville, FL 32327-1091
Phone (850) 926-6363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022620FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare LLC CurrentSince Apr 3, 2023 Accepting new patients
Capital Regional Healthcare Past Accepting new patients
Grant Center Hospital of Ocala Inc PastSince Apr 3, 2023 Accepting new patients

Locations

2382 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 219-2306

2382 Crawfordville Hwy
Ste C
Crawfordville, FL 32327
Phone (850) 926-6363

1910 Hillbrooke Trl
Ste 2
Tallahassee, FL 32311
Phone (850) 878-2637

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: dana.ivester@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1396452363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271091",
            "telephone_number": "850-926-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 CRAWFORDVILLE HWY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323271091",
            "telephone_number": "850-926-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Quail Ct",
            "address_purpose": "LOCATION",
            "city": "Crawfordville",
            "state": "FL",
            "postal_code": "323275211",
            "country_code": "US",
            "telephone_number": "850-210-5192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVESTER",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.