Individual provider Active NPI

Hanna Bernice Hogan, ARNP

  • Family Nurse Practitioner
  • Inverness, FL
National Provider Identifier
1457869927
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9328223 Issued in FL
Practice address
213 S Pine Ave
Inverness, FL 34452-4830
Phone
(352) 560-3000
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9328223 FL Primary

Addresses

Primary practice location

213 S Pine Ave
Inverness, FL 34452-4830

Mailing address

213 S Pine Ave
Inverness, FL 34452-4830
Phone (352) 560-3000

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
I20210615000268 FL Practitioner - Nurse Practitioner 8921426032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9328223FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Associates P a CurrentSince Apr 28, 2021 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Apr 28, 2021 Accepting new patients
West Florida Medical Associates, PA CurrentSince Apr 28, 2021 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

213 S Pine Ave
Inverness, FL 34452
Phone (352) 560-3000

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, 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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1457869927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S PINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524830",
            "telephone_number": "352-560-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S PINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524830",
            "telephone_number": "352-560-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "HANNA",
        "middle_name": "BERNICE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9328223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.