Individual provider Active NPI

Thomas R Mohan, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1679566558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3386112 Issued in FL
Practice address
1920 SW 20TH PL Ste 100
Ocala, FL 34471-7881
Phone
(352) 237-1212
Fax
(352) 237-0066
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP3386112 FL Primary

Addresses

Primary practice location

1920 SW 20TH PL Ste 100
Ocala, FL 34471-7881

Mailing address

1920 SW 20TH PL Ste 100
Ocala, FL 34471-7881
Phone (352) 237-1212

Other identifiers 3

IdentifierTypeStateIssuer
E6942SOtherFLMEDICARE PTAN OCALA W
304791100MedicaidFL
E6942YOtherFLMEDICARE ID PREVIOUS

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
I20050907000786 FL Practitioner - Nurse Practitioner 9739111071 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeforce Healthcare, LLCGroup PAC ID 5092865568, 17 clinicians

Practice addresses (Care Compare)

1651 SW 42ND St
Ocala, FL 34471-1364
Phone (352) 873-3800

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3386112FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Sep 30, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 30, 2015 Accepting new patients
Orthopaedic Specialty Care LLC CurrentSince Jan 7, 2019 Accepting new patients
Lifeforce Healthcare LLC Family CurrentSince Aug 25, 2020 Accepting new patients
Family Internal Medicine of Ocala CurrentSince Oct 1, 2012 Accepting new patients
CNS Holding Company LLC PastSince Apr 25, 2013 Accepting new patients
Florida Health Care LLC Past Accepting new patients

Locations

4840 S US Highway 41
Dunnellon, FL 34432
Phone (352) 489-5152

1627 SW 1st Ave
Ste 200
Ocala, FL 34471
Phone (352) 234-3319

1623 SW 1st Ave
Ocala, FL 34471
Phone (352) 732-9844

11740 SW 97th Ter
Ocala, FL 34481
Phone (352) 732-9844

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2685 SW 32nd Pl
Ste 400
Ocala, FL 34471
Phone (352) 369-0101

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8331/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 4

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679566558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SW 20TH PL STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717881",
            "telephone_number": "352-237-1212",
            "fax_number": "352-237-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SW 20TH PL STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717881",
            "telephone_number": "352-237-1212",
            "fax_number": "352-237-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3386112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OCALA W",
            "identifier": "E6942S",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304791100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID PREVIOUS",
            "identifier": "E6942Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.