Individual provider Active NPI

Elizabeth Bassey Duke

  • Pediatric Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1578738183
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN9534505 Issued in FL
Practice address
7960 SW 60TH Ave
Ocala, FL 34476-6408
Phone
(352) 671-6741
Fax
(352) 671-6742
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN9534505 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7960 SW 60TH Ave
Ocala, FL 34476-6408

Mailing address

7960 SW 60TH Ave
Ocala, FL 34476-6408
Phone (352) 671-6741

Other practice location 1

14141 E Highway 40 Ste B
Silver Springs, FL 34488-3911
Phone (352) 625-2727

Other practice location 2

5388 S US Highway 41
Dunnellon, FL 34432-2042
Phone (352) 522-1862

Other names 1

  • Elizabeth Bassey-Jacob Duke Former name

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
I20231121000116 FL Practitioner - Nurse Practitioner 5294183810 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9534505FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Project Health Inc. CurrentSince Oct 24, 2023 Accepting new patients
Project Health Inc Current Accepting new patients
Project Health Inc CurrentSince Oct 24, 2023 Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients
University of Arkansas for Medical Sciences Past Accepting new patients

Locations

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

7205 SE Maricamp Rd
Ocala, FL 34472
Phone (352) 680-0324

1425 S US 301
Sumterville, FL 33585

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1578738183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766408",
            "telephone_number": "352-671-6741",
            "fax_number": "352-671-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766408",
            "telephone_number": "352-671-6741",
            "fax_number": "352-671-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14141 E Highway 40 Ste B",
            "address_purpose": "LOCATION",
            "city": "Silver Springs",
            "state": "FL",
            "postal_code": "344883911",
            "country_code": "US",
            "telephone_number": "352-625-2727",
            "fax_number": "352-625-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5388 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344322042",
            "country_code": "US",
            "telephone_number": "352-522-1862",
            "fax_number": "352-522-1863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "ELIZABETH",
        "middle_name": "BASSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "RN9534505",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DUKE",
            "middle_name": "BASSEY-JACOB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.