Individual provider Active NPI

Susan Neal, ARNP

  • Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1467704031
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1063272 Issued in FL
Practice address
550 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(352) 323-2273
NPI assigned
Oct 8, 2012
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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 ARNP1063272 FL Primary

Addresses

Primary practice location

550 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

600 E Dixie Ave
Attn: Edna Peart, Reimbursement
Leesburg, FL 34748-5925
Phone (352) 323-4267

Other identifiers 1

IdentifierTypeStateIssuer
ARNP1063272OtherFLNURSE PRACTITIONER LICENSE

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
I20131121000746 FL Practitioner - Nurse Practitioner 2163658139 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Cardiology Consultants, PLLC CurrentSince Feb 7, 2022 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Feb 7, 2022 Accepting new patients
Reddymed LLC Past Accepting new patients
Mid-Florida Gastroenterology Group P a Past Accepting new patients

Locations

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1467704031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "address_2": "ATTN: EDNA PEART, REIMBURSEMENT",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SUSAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1063272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "ARNP1063272",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.