Individual provider Active NPI

Barbara Ann Ross, NP

  • Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1457579955
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1023162 Issued in FL
Practice address
429 2ND St NW
Winter Haven, FL 33881-4168
Phone
(863) 294-7558
Fax
(863) 295-9282
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 ARNP1023162 FL Primary

Addresses

Primary practice location

429 2ND St NW
Winter Haven, FL 33881-4168

Mailing address

727 US Highway 27 S
Sebring, FL 33870-2169
Phone (863) 294-7558

Other identifiers 1

IdentifierTypeStateIssuer
AI090OtherFLMEDICARE GROUP PIN

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
I20080711000415 FL Practitioner - Nurse Practitioner 4688746316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Dermatology LLCGroup PAC ID 9537595194, 4 clinicians

Practice addresses (Care Compare)

727 US Hwy 27 S
Sebring, FL 33870-2169
Phone (863) 385-7183

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Dermatology LLC CurrentSince Nov 1, 2019 Accepting new patients
Lakeside Dermatology , PA PastSince Feb 25, 2013 Accepting new patients

Locations

727 US Highway 27 S
Sebring, FL 33870
Phone (863) 385-7183

400 Avenue K SE
Ste 3
Winter Haven, FL 33880
Phone (863) 293-7546

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1457579955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702169",
            "telephone_number": "863-294-7558",
            "fax_number": "863-295-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 2ND ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814168",
            "telephone_number": "863-294-7558",
            "fax_number": "863-295-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1023162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "AI090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.