Individual provider Active NPI

Carmen S Owens, FNP-C

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1457504052
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017112 Issued in FL
Practice address
7011 W Newberry Rd Ste B
Gainesville, FL 32605-4470
Phone
(352) 240-6048
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 9203682 FL
Family Nurse Practitioner 363LF0000X 28453 TN
Family Nurse Practitioner 363LF0000X 11017112 FL Primary

Addresses

Primary practice location

7011 W Newberry Rd Ste B
Gainesville, FL 32605-4470

Mailing address

7011 W Newberry Rd Ste B
Gainesville, FL 32605-4470
Phone (352) 240-6048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221108002087 TN Practitioner - Nurse Practitioner 9234506023 Reassigns benefits to 1 organization
I20240213002153 FL Practitioner - Nurse Practitioner 9234506023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Urgent Care CenterGroup PAC ID 1456578665, 8 clinicians
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

2786 W US Hwy 90
Suite 105
Lake City, FL 32055-7723
Phone (386) 758-2944

3600 SW Archer Rd
Suite a 1
Gainesville, FL 32608-2421
Phone (352) 240-6048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9203682FLMDRegistered Nurse
11017112FLMDFamily Nurse Practitioner
28453TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 3, 2022 Accepting new patients
Avecina Medical, PA CurrentSince Feb 1, 2024 Accepting new patients
Avecina Medical PA Current Accepting new patients
Mercy Medical Urgent Care Center CurrentSince Sep 9, 2025 Accepting new patients
Nahed S. Sobhy M.D. P.a. Current Accepting new patients
Avecina Medical, PA CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

3600 SW Archer Rd
Ste A-1
Gainesville, FL 32608
Phone (352) 240-6048

7011 W Newberry Rd
Ste B
Gainesville, FL 32605
Phone (352) 240-6048

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

2786 W US Highway 90
Ste 105
Lake City, FL 32055
Phone (386) 758-2944

1811 Blanding Blvd
Ste 101
Middleburg, FL 32068
Phone (904) 203-2852

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1457504052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 W NEWBERRY RD STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054470",
            "telephone_number": "352-240-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W NEWBERRY RD STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054470",
            "telephone_number": "352-240-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CARMEN",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 9203682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.