Individual provider Active NPI

Andrea Lynn Husen, APRN

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1588201875
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042639 Issued in FL
Practice address
21 Hospital Dr Ste 125
Palm Coast, FL 32164-2455
Phone
(386) 586-1705
Fax
(386) 586-1706
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11042639 FL Primary

Addresses

Primary practice location

21 Hospital Dr Ste 125
Palm Coast, FL 32164-2455

Mailing address

17602 Wright St Ste 105
Omaha, NE 68130-2097
Phone (402) 614-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200122000081 NE Practitioner - Nurse Practitioner 9032544002 Reassigns benefits to 2 organizations
I20200327002926 IA Practitioner - Nurse Practitioner 9032544002 Reassigns benefits to 2 organizations
I20260128004595 FL Practitioner - Nurse Practitioner 9032544002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11042639FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Pain Clinic PC Family CurrentSince Jan 1, 2020 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 1, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 1, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Jan 23, 2026 Accepting new patients

Locations

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

21 Hospital Dr
Ste 125
Palm Coast, FL 32164
Phone (386) 586-1705

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2045

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

2771 Solution Ctr
Chicago, IL 60677

3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373

4508 38th St
Columbus, NE 68601
Phone (402) 562-8445

7710 Mercy Rd
Ste 3000
Omaha, NE 68124
Phone (402) 717-9600

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

825 N 90th St
Omaha, NE 68114
Phone (402) 391-7246

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJBD
  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1588201875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 WRIGHT ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302097",
            "telephone_number": "402-614-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR STE 125",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642455",
            "telephone_number": "386-586-1705",
            "fax_number": "386-586-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEN",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.