Jeetendra K Chaudhary, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11024345 Issued in FL

Practice address

840 S Bea Ave
Inverness, FL 34452-3603

Phone

(352) 691-1190

Fax

(352) 691-1192

NPI assigned

Jan 16, 2023

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Access Health Care Physicians LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1245529742
  Medicare reassignment Care Compare group NPD
• Unity Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1720324627
  NPD (past)

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1407561236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346063833",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S BEA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344523603",
            "telephone_number": "352-691-1190",
            "fax_number": "352-691-1192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2687 E Gulf To Lake Hwy",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533216",
            "country_code": "US",
            "telephone_number": "352-691-1190",
            "fax_number": "352-691-1192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1623 SE US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344294830",
            "country_code": "US",
            "telephone_number": "352-995-7330",
            "fax_number": "352-549-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "JEETENDRA",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9513471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Champion, LMHC
• Vincent Chan, PHARM D
• Charles a Prentice MD PA
• Shayla Monique Chase, LCSW
• Ashok Chaudhary, MD
• Ramon Argenis Checo Arias, M.D.
• Nicholas Choto, DPT
• Citrus Cardiology Consultants, PLLC
• Citrus Cardiology Consultants, PLLC
• Citrus Cardiovascular Anesthesia Associates PLLC

• Family Nurse Practitioner in Inverness, FL
• Providers in Inverness, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.