Active NPI
Janna Paulk
- Primary Care Nurse Practitioner
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11011149
- Practice address
- 6041 SW 54TH St Ste 200
Ocala, FL 34474-5521 - Phone
- (352) 877-2161
- Fax
- (352) 877-2083
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 11011149 | FL | Primary |
Addresses
Primary practice location
6041 SW 54TH St Ste 200
Ocala, FL 34474-5521
Mailing address
8998 W Lakeview CT
Crystal River, FL 34428-7229
Phone (850) 207-7064
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ocala | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4641 Old Canoe Creek Rd
Saint Cloud, FL 34769-1550
Phone (407) 892-7344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011149 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Associates, PA | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| West Florida Medical Associates P a | Current | Accepting new patients | |
| Careconnectmd Florida P.a. | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Current | Accepting new patients | |
| Mana Health Partners PA | Current | Accepting new patients | |
| Nature Coast Geriatric Services LLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Psgfl MSSP, LLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867
3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558
7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644
549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800
1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769
20021 SW 111th Pl
Dunnellon, FL 34432
Phone (352) 465-1199
41 N Inglis Ave
Inglis, FL 34449
Phone (352) 447-3031
1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690
4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
1650 Phillips Rd
Tallahassee, FL 32308
Phone (386) 673-0450
16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
Organizations & group practices 9
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
FL
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Cloud, FL
- NPI 1083493860
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1912632886
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1437925047
-
- Family Medicine Physician
- Beverly Hills, FL
- NPI 1417340654
-
- Internal Medicine Physician
- Beverly Hills, FL
- NPI 1265515001
-
- Family Medicine Physician
- Inverness, FL
- NPI 1770724130
-
- Multi-Specialty Clinic/Center
- Gulf Breeze, FL
- NPI 1689557936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1639760143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8998 W LAKEVIEW CT",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344287229",
"telephone_number": "850-207-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 SW 54TH ST STE 200",
"city": "OCALA",
"state": "FL",
"postal_code": "344745521",
"telephone_number": "352-877-2161",
"fax_number": "352-877-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULK",
"first_name": "JANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "11011149",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ocala",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6041 SW 54th St Ste 200",
"city": "Ocala",
"state": "FL",
"country_code": "US",
"postal_code": "344745521",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.