Individual provider Active NPI

Mark Christopher Strickland, APRN

  • Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1417764713
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11036750 Issued in FL
Practice address
809 Highway 466 Ste 101C
Lady Lake, FL 32159-3909
Phone
(352) 530-2256
Fax
(352) 315-0069
NPI assigned
Dec 11, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 APRN11036750 FL Primary

Addresses

Primary practice location

809 Highway 466 Ste 101C
Lady Lake, FL 32159-3909

Mailing address

17020 SE 95TH Street Rd
Ocklawaha, FL 32179-4500
Phone (407) 797-4155

Other practice location 1

803 E Dixie Ave
Leesburg, FL 34748-6013
Phone (352) 530-2256

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
I20250210001056 FL Practitioner - Nurse Practitioner 1456881267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

809 County Rd
466 Suite 101C
Lady Lake, FL 32159-4205
Phone (352) 530-2253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11036750FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychiatry Centers LLC CurrentSince Feb 1, 2025 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients

Locations

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

803 E Dixie Ave
Leesburg, FL 34748
Phone (352) 530-2256

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1417764713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 SE 95TH STREET RD",
            "city": "OCKLAWAHA",
            "state": "FL",
            "postal_code": "321794500",
            "telephone_number": "407-797-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HIGHWAY 466 STE 101C",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593909",
            "telephone_number": "352-530-2256",
            "fax_number": "352-315-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347486013",
            "country_code": "US",
            "telephone_number": "352-530-2256",
            "fax_number": "352-315-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11036750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.