Individual provider Active NPI

Dana Carroll, ARNP

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1649636945
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3409322 Issued in FL
Practice address
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone
(407) 646-7070
Fax
(407) 646-7747
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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 3409322 FL Primary

Addresses

Primary practice location

133 Benmore Dr Ste 200
Winter Park, FL 32792-4111

Mailing address

PO Box 576
Tavares, FL 32778-0576
Phone (352) 978-2239

Other identifiers 1

IdentifierTypeStateIssuer
020281000MedicaidFL

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
I20161101000847 FL Practitioner - Nurse Practitioner 0941588644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3409322FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan Physical Medicine, Inc CurrentSince May 18, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 8, 2017 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 8, 2017 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

9836 US Highway 441
Leesburg, FL 34788
Phone (352) 787-8531

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

133 Benmore Dr
Ste 200
Winter Park, FL 32792
Phone (407) 599-6060

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dcarroll128761@adventhealth.direct-ci.com

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": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1649636945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327780576",
            "telephone_number": "352-978-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-646-7070",
            "fax_number": "407-646-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "DANA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3409322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020281000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.