Individual provider Active NPI

Katelin Marie Redmon, APRN

  • Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1659260420
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11040487 Issued in FL
Practice address
33049 Professional Dr Ste 103
Leesburg, FL 34788-3705
Phone
(352) 353-6967
NPI assigned
Jun 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11040487 FL Primary

Addresses

Primary practice location

33049 Professional Dr Ste 103
Leesburg, FL 34788-3705

Mailing address

PO Box 100186
Gainesville, FL 32610-0186
Phone (352) 265-5911

Other practice location 1

17021 US Highway 441
Mount Dora, FL 32757-6734
Phone (352) 720-7999

Other practice location 2

4405 S US Highway 27
Clermont, FL 34711-5384
Phone (352) 720-7999

Other practice location 3

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5467

Other practice location 4

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000

Other practice location 5

3800 Meggison Rd
The Villages, FL 32163-3028
Phone (352) 570-6100

Other names 1

  • Katelin Marie Andersen 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
I20250723000581 FL Practitioner - Nurse Practitioner 3476069790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
All for Health PLLCGroup PAC ID 9830553908, 3 clinicians
Quality Physician Group PLLCGroup PAC ID 7113263260, 9 clinicians

Practice addresses (Care Compare)

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000

33049 Professional Dr
Suite 101
Leesburg, FL 34788-3705
Phone (352) 353-6797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040487FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jan 18, 2026 Accepting new patients
Leesburg Regional Medical Center Physician Services LLC CurrentSince Jan 6, 2026 Accepting new patients
Quality Physician Group PLLC CurrentSince Jun 16, 2025 Accepting new patients
All for Health PLLC CurrentSince Jun 16, 2025 Accepting new patients
Lake Gastroenterology Associates LLC PastSince Jun 29, 2025 Accepting new patients

Locations

4405 S US Highway 27
Clermont, FL 34711
Phone (352) 243-3367

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

33049 Professional Dr
Ste 101
Leesburg, FL 34788
Phone (352) 353-6797

33049 Professional Dr
Ste 102
Leesburg, FL 34788
Phone (352) 353-6967

33049 Professional Dr
Ste 103
Leesburg, FL 34788
Phone (352) 353-6967

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

3800 Meggison Rd
The Villages, FL 32163
Phone (352) 570-6100

5455 Spencer Ct
Wildwood, FL 34785

5455 Spencer Ct
Ste 1
Wildwood, FL 34785
Phone (352) 353-6797

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": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1659260420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100186",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33049 PROFESSIONAL DR STE 103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883705",
            "telephone_number": "352-353-6967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17021 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576734",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 S US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347115384",
            "country_code": "US",
            "telephone_number": "352-720-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485925",
            "country_code": "US",
            "telephone_number": "352-323-5467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321590041",
            "country_code": "US",
            "telephone_number": "352-751-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Meggison Rd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321633028",
            "country_code": "US",
            "telephone_number": "352-570-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDMON",
        "first_name": "KATELIN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11040487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELIN",
            "last_name": "ANDERSEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.