Individual provider Active NPI

Anna K Allen, ARNP

  • Primary Care Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1508869330
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP1735792 Issued in FL
Practice address
605 Lamar Ave
Brooksville, FL 34601-3211
Phone
(352) 799-5411
Fax
(352) 544-2713
NPI assigned
May 24, 2005
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP1735792 FL Primary

Addresses

Primary practice location

605 Lamar Ave
Brooksville, FL 34601-3211

Mailing address

605 Lamar Ave
Brooksville, FL 34601-3211
Phone (352) 799-5411

Other identifiers 3

IdentifierTypeStateIssuer
Y046SOtherFLBC/BS FLA
P00179739OtherFLRAILROAD MEDICARE
305836100MedicaidFL

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
I20040115000267 FL Practitioner - Nurse Practitioner 5890696751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioner on the Go LLCGroup PAC ID 4183954423, 4 clinicians

Practice addresses (Care Compare)

Tampa, FL 33624
Phone (813) 444-3201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pi: Prevention and Intervention Wound Care and Dermatological Services CurrentSince Feb 15, 2024 Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Feb 26, 2022 Accepting new patients
Nurse Practitioner on the Go, LLC CurrentSince Aug 1, 2024 Accepting new patients
Act Health Solutions LLC CurrentSince Mar 1, 2024 Accepting new patients
Rural Medical Associates Inc Past Accepting new patients

Locations

5668 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 324-1604

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1508869330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 LAMAR AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013211",
            "telephone_number": "352-799-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LAMAR AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013211",
            "telephone_number": "352-799-5411",
            "fax_number": "352-544-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP1735792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLA",
            "identifier": "Y046S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00179739",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305836100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.