Individual provider Active NPI

Denise Lynn Raychok, ARNP-BC

  • Acute Care Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1467789347
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP3207182 Issued in FL
Practice address
1800 SE 17TH St
Suite 700
Ocala, FL 34471-4191
Phone
(352) 789-6008
Fax
(352) 512-0510
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP3207182 FL Primary

Addresses

Primary practice location

1800 SE 17TH St
Suite 700
Ocala, FL 34471-4191

Mailing address

1800 SE 17TH Street
Suite 700
Ocala, FL 34471-4191
Phone (352) 789-6008

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
I20110428000649 FL Practitioner - Nurse Practitioner 3971788365 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Idicula Medical Associates MD PA CurrentSince Jun 22, 2025 Accepting new patients
St Luke Heart Institute Inc PastSince Jun 22, 2025 Accepting new patients
Cardiology Consultants Past Accepting new patients
Florida Cardiology Group LLC PastSince Jul 20, 2019 Accepting new patients

Locations

10065 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-1229

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIBAA
  • Direct secure messaging: draychok296504@direct.tgh.org

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": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1467789347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH STREET",
            "address_2": "SUITE 700",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714191",
            "telephone_number": "352-789-6008",
            "fax_number": "352-512-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE 17TH ST",
            "address_2": "SUITE 700",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714191",
            "telephone_number": "352-789-6008",
            "fax_number": "352-512-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCHOK",
        "first_name": "DENISE",
        "middle_name": "LYNN",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP3207182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.