Aubrey Canal, APRN
Individual provider Active NPI Family Nurse Practitioner · Wildwood, FL
NPI 1689218679 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1689218679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11004906 (FL)
- Practice address
- 4669 E Sr 44 Ste 101
Wildwood, FL 34785-7460 - Phone
- (352) 693-2340
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Florian Gegaj MD Epcp LLC
Florian Gegaj MD LLC
Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 206
The Villages, FL 32162-1762
Phone (352) 353-0092
11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378
8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237
PO Box
Suite 383
Oxford, FL 32162-1762
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200107000114 | FL | Practitioner - Nurse Practitioner | 7113351719 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11004906 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florian Gegaj MD LLC | Current |
Accepting new patients | |
| Florian Gegaj MD Epcp LLC | Current |
Accepting new patients |
Locations
1050 Old Camp Rd
Ste 206
The Villages, FL 32162
Phone (352) 353-0092
5463 Spencer Ct
Wildwood, FL 34785
Phone (352) 353-0092
Interoperability endpoints
- aubrey.canal@mychc.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/JIFJBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11004906 | FL | Yes |
Addresses
Primary practice location
4669 E Sr 44 Ste 101
Wildwood, FL 34785-7460
Mailing address
1050 Old Camp Rd Ste 206
The Villages, FL 32162-1762
Phone (352) 353-0092
Other providers in Wildwood, FL
- Black Coach Transportation Services LLC
- Laura Bodnar
- Natasha Brooks
- Veronica Brown
- Carolyn Iretha Campbell
- Ermite Caris-Barlatier
- Racha Cassard
- Angel L Casul Nogueras
- CD-TT Wildwood LLC
- Central Florida Premier Eye Associates
All providers in Wildwood, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.