Active NPI
Denise Lynn Raychok, ARNP-BC
- Acute Care Nurse Practitioner
- Ocala, FL
National Provider Identifier
1467789347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- ARNP3207182
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Idicula Medical Associates MD PA | Current | Accepting new patients | |
| St Luke Heart Institute Inc | Past | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients | |
| Florida Cardiology Group LLC | Past | 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
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/GIIBAA
- 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.
-
- Specialist
- Brooksville, FL
- NPI 1982781688
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
-
- Cardiovascular Disease Physician
- Hudson, FL
- NPI 1568457521
-
- Specialist
- Brooksville, FL
- NPI 1528196847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.