NPIMap

Organization Active NPI

Lifeforce Healthcare LLC

  • Adult Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1619110640
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 3064782 Issued in FL
Legal business name
LIFEFORCE HEALTHCARE LLC
Practice address
1651 SW 42ND St
Ocala, FL 34471-1364
Phone
(352) 873-3800
Fax
(352) 873-4800
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Jennifer Zylis, APRNNPI 1699848242
Title
Owner
Phone
(352) 873-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X ARNP 3064782 FL Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X ARNP 3064662 FL

Addresses

Primary practice location

1651 SW 42ND St
Ocala, FL 34471-1364

Mailing address

PO Box 773176
Ocala, FL 34477-3176
Phone (352) 873-3800

Other identifiers 1

IdentifierTypeStateIssuer
001710400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090604000486 FL Part B Supplier - Clinic/Group Practice 5092865568 Receives reassigned benefits from 39 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

12080 SW Highway 484
Ste 17
Dunnellon, FL 34432

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1619110640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773176",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344773176",
            "telephone_number": "352-873-3800",
            "fax_number": "352-873-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 SW 42ND ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711364",
            "telephone_number": "352-873-3800",
            "fax_number": "352-873-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "ZYLIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-873-3800",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 3064782",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3064662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001710400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.