Individual provider Active NPI

Robyn M Carlisle, ARNP-C

  • Nurse Practitioner
  • Summerfield, FL
National Provider Identifier
1407026719
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9247423 Issued in FL
Practice address
17345 SE 109TH Terrace Rd
Summerfield, FL 34491-8930
Phone
(352) 751-4885
Fax
(352) 751-5371
NPI assigned
Mar 4, 2008
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 9247423 FL Primary

Addresses

Primary practice location

17345 SE 109TH Terrace Rd
Summerfield, FL 34491-8930

Mailing address

1901 SE 18TH Ave
BLDG 400
Ocala, FL 34471-8215
Phone (352) 732-8905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gastroocala@directaddress.net

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
I20100714000569 FL Practitioner - Nurse Practitioner 5991837700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoscopy Center of Ocala IncGroup PAC ID 2466448709, 19 clinicians

Practice addresses (Care Compare)

1150 SE 18TH Place
Ocala, FL 34471-5422
Phone (352) 732-8905

17345 SE 109TH Terrace Rd
Summerfield, FL 34491-8930
Phone (352) 751-4885

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9247423FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Ocala Inc CurrentSince Mar 31, 2014 Accepting new patients

Locations

13940 N US Highway 441
Ste 801
Lady Lake, FL 32159
Phone (352) 401-7552

1150 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070

17345 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 751-4885

1400 N US Highway 441
Ste 531
The Villages, FL 32159
Phone (352) 504-3500

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1407026719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE",
            "address_2": "BLDG 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718215",
            "telephone_number": "352-732-8905",
            "fax_number": "352-732-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17345 SE 109TH TERRACE RD",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918930",
            "telephone_number": "352-751-4885",
            "fax_number": "352-751-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "ROBYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9247423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gastroocala@directaddress.net",
            "affiliation": "N",
            "address_1": "1901 SE 18th Ave Suite 400",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344718213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.