Individual provider Active NPI

Jeanne Van Eepoel, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1457659021
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9495822 Issued in FL
Practice address
717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435
Phone
(813) 666-2714
Fax
(352) 565-4131
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024169126 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9495822 FL Primary

Addresses

Primary practice location

717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304
Phone (352) 565-7518

Other practice location 1

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-4981

Other practice location 2

12073 Tech Rd Ste B
Silver Spring, MD 20904-7874
Phone (301) 593-1315

Other practice location 3

9300 DeWitt Loop
Ft Belvoir, VA 22060-5285
Phone (571) 231-1308

Other identifiers 1

IdentifierTypeStateIssuer
12368341OtherMDCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120713000226 DC Practitioner - Nurse Practitioner 8123203825 Reassigns benefits to 1 organization
I20180913002629 VA Practitioner - Nurse Practitioner 8123203825 Reassigns benefits to 1 organization
I20230921003524 FL Practitioner - Nurse Practitioner 8123203825 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

3235 SW 34TH St
Ocala, FL 34474-7501
Phone (352) 431-3940

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
80.53
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9495822FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC CurrentSince Oct 16, 2023 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Apr 21, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

11531 W Emerald Oaks Dr
Crystal River, FL 34428

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 5

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1457659021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304",
            "telephone_number": "352-565-7518",
            "fax_number": "352-565-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SW MARTIN LUTHER KING JR AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711435",
            "telephone_number": "813-666-2714",
            "fax_number": "352-565-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212046819",
            "country_code": "US",
            "telephone_number": "410-938-4981",
            "fax_number": "410-938-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12073 Tech Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047874",
            "country_code": "US",
            "telephone_number": "301-593-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 DeWitt Loop",
            "address_purpose": "LOCATION",
            "city": "Ft Belvoir",
            "state": "VA",
            "postal_code": "220605285",
            "country_code": "US",
            "telephone_number": "571-231-1308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN EEPOEL",
        "first_name": "JEANNE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024169126",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9495822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12368341",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.