Individual provider Active NPI

Lynn Marie Millard, APRN

  • Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1487002895
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2144172 Issued in FL
Practice address
9030 W Fort Island TRL Ste 1
Crystal River, FL 34429-8011
Phone
(352) 228-8906
Fax
(352) 228-8905
NPI assigned
May 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2144172 FL
Nurse Practitioner 363L00000X APRN2144172 FL Primary

Addresses

Primary practice location

9030 W Fort Island TRL Ste 1
Crystal River, FL 34429-8011

Mailing address

PO Box 1000294
Gainesville, FL 32610-0294
Phone (352) 273-7584

Other practice location 1

3600 SE 54th Ct
Ocala, FL 34480-1394
Phone (248) 721-2418

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
I20190416000029 FL Practitioner - Nurse Practitioner 4981945284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2144172FLMDNurse Practitioner
2144172FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 7, 2023 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Apr 11, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 7, 2023 Accepting new patients
Hospitalists Group of Florida PLLC CurrentSince Jan 7, 2020 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2845 SE 3rd Ct
Ocala, FL 34471
Phone (352) 369-5300

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lmillard641430@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1487002895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000294",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100294",
            "telephone_number": "352-273-7584",
            "fax_number": "352-392-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL STE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298011",
            "telephone_number": "352-228-8906",
            "fax_number": "352-228-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 SE 54th Ct",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344801394",
            "country_code": "US",
            "telephone_number": "248-721-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-09-07",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2144172",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2144172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.