Individual provider Active NPI

Mary L Lane, ARNP

  • Nurse Practitioner
  • Belleview, FL
National Provider Identifier
1568614303
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3083192 Issued in FL
Practice address
10762 SE US Highway 441
Belleview, FL 34420-3805
Phone
(352) 347-5225
Fax
(352) 347-1073
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3083192 FL Primary

Addresses

Primary practice location

10762 SE US Highway 441
Belleview, FL 34420-3805

Mailing address

10762 SE US Hwy 441
Belleview, FL 34420
Phone (352) 347-5225

Other identifiers 2

IdentifierTypeStateIssuer
Y00N4OtherFLBSBC FL
0008590-00MedicaidFL

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
I20090408000300 FL Practitioner - Nurse Practitioner 9032266002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular PLCGroup PAC ID 8729184379, 13 clinicians

Practice addresses (Care Compare)

101 Park Place Blvd
Suite C
Davenport, FL 33837-6865
Phone (352) 362-4223

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular PLC CurrentSince Apr 1, 2025 Accepting new patients
Marion Heart Associates, PA CurrentSince Dec 1, 2025 Accepting new patients
Shreeven LLC CurrentSince Feb 1, 2015 Accepting new patients
Ankem Ravindra MD PA CurrentSince Dec 1, 2025 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
DRS. Raja & Raja, PA Past Accepting new patients

Locations

405 Lionel Way
Davenport, FL 33837
Phone (407) 412-0111

101 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (352) 362-4223

141 Victoria Commons Blvd
Deland, FL 32724
Phone (386) 427-4544

1211 SW Bascom Norris Dr
Lake City, FL 32025
Phone (386) 326-3633

1136 Bryn Mawr Ave
Lake Wales, FL 33853
Phone (352) 362-4223

1609 SW 17th St
Ocala, FL 34471
Phone (352) 401-9888

1805 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 307-1616

1609 SW 17th St
Ste 100
Ocala, FL 34471
Phone (352) 401-9888

7139 N US Highway 1
Port St John, FL 32927
Phone (321) 635-8304

1370 E Venice Ave
Ste 102
Venice, FL 34285

320 1st St N
Winter Haven, FL 33881
Phone (646) 295-5136

Organizations & group practices 6

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1568614303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10762 SE US HWY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "34420",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10762 SE US HIGHWAY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3083192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC FL",
            "identifier": "Y00N4",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008590-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleview, FL

Sources for this page

Verify at the official NPI Registry.