NPIMap

Individual provider Active NPI

Olayinka Elizabeth Ogedengbe

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1407412554
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002500 Issued in FL
Practice address
Uf Health Medical Oncology
2000 SW Archer Rd, 2ND Floor
Gainesville, FL 32610-1136
Phone
(352) 265-0725
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002500 FL Primary

Addresses

Primary practice location

Uf Health Medical Oncology
2000 SW Archer Rd, 2ND Floor
Gainesville, FL 32610-1136

Mailing address

Uf Health Medical Oncology
2000 SW Archer Rd, 2ND Floor
Gainesville, FL 32610-1136
Phone (352) 265-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813000114 FL Practitioner - Nurse Practitioner 6002143187 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
Group practices

Practice addresses (Care Compare)

1535 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 273-9500

1549 Gale Lemerand Dr
Gainesville, FL 32610-3008
Phone (352) 265-4357

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Medical Group, LLC CurrentSince Apr 21, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 12, 2019 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 12, 2019 Accepting new patients

Locations

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: oogedengbe17105@direct.shands.ufl.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1407412554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UF HEALTH MEDICAL ONCOLOGY",
            "address_2": "2000 SW ARCHER RD, 2ND FLOOR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101136",
            "telephone_number": "352-265-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UF HEALTH MEDICAL ONCOLOGY",
            "address_2": "2000 SW ARCHER RD, 2ND FLOOR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101136",
            "telephone_number": "352-265-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGEDENGBE",
        "first_name": "OLAYINKA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.