Individual provider Active NPI

Jeanne Ryan Botz, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1508825407
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1630102 Issued in FL
Practice address
33920 US Highway 19 N Ste 107
Palm Harbor, FL 34684-2654
Phone
(727) 781-1000
Fax
(727) 330-7551
NPI assigned
Mar 20, 2006
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1630102 FL Primary

Addresses

Primary practice location

33920 US Highway 19 N Ste 107
Palm Harbor, FL 34684-2654

Mailing address

8002 King Helie Blvd
New Port Richey, FL 34653-1435
Phone (727) 841-4200

Other practice location 1

8002 King Helie Blvd
New Port Richey, FL 34653-1435
Phone (727) 841-4200

Other identifiers 1

IdentifierTypeStateIssuer
034829500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jeanne.BotzAPRN@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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
I20040217000636 FL Practitioner - Nurse Practitioner 5991690182 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Building New Horizons, Inc.Group PAC ID 4880679844, 2 clinicians
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

33920 US 19
Suite 170
Palm Harbor, FL 34684-2619
Phone (727) 781-1000

611 Druid Rd E
Suite 512
Clearwater, FL 33756-3942
Phone (352) 431-3940

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1630102FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC CurrentSince Oct 6, 2025 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Jan 7, 2021 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Jan 7, 2021 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Jan 7, 2021 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Aug 27, 2019 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jan 7, 2021 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Aug 27, 2019 Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

611 Druid Rd E
Ste 512
Clearwater, FL 33756

8002 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 841-4200

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Interoperability endpoints

  • Direct secure messaging: jeanne.botzaprn@direct.mybaycare.org
  • Direct secure messaging: jeannebotz@harmonyhealthcare.medentdirect.com

Organizations & group practices 11

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1508825407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 KING HELIE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531435",
            "telephone_number": "727-841-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N STE 107",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842654",
            "telephone_number": "727-781-1000",
            "fax_number": "727-330-7551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8002 King Helie Blvd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346531435",
            "country_code": "US",
            "telephone_number": "727-841-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTZ",
        "first_name": "JEANNE",
        "middle_name": "RYAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1630102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034829500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jeanne.BotzAPRN@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.