Individual provider Active NPI

Woodlyne Arne

  • Gerontology Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1689480188
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11021624 Issued in FL
Practice address
2538 Middleton Grove Dr
Brandon, FL 33511-4784
Phone
(813) 531-2701
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11021624 FL Primary

Addresses

Primary practice location

2538 Middleton Grove Dr
Brandon, FL 33511-4784

Mailing address

2538 Middleton Grove Dr
Brandon, FL 33511-4784

Other practice location 1

2538 Middleton Grove Dr
Brandon, FL 33511-4784
Phone (813) 531-2701

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
I20260129003311 FL Practitioner - Nurse Practitioner 9830677087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Center Health and Wellness LLCGroup PAC ID 1052531894, 3 clinicians
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

3040 E College Ave
Ruskin, FL 33570-5220
Phone (813) 331-3940

428 Airport Blvd
Pensacola, FL 32503-7865
Phone (864) 593-9996

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021624FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Infusion, LLC CurrentSince Jan 26, 2026 Accepting new patients
Sun City Center Health and Wellness LLC CurrentSince Dec 23, 2025 Accepting new patients

Locations

401 Corbett St
Ste 300
Belleair, FL 33756
Phone (727) 442-6007

3040 State Road 674
Ruskin, FL 33570
Phone (813) 331-3940

2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1689480188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 MIDDLETON GROVE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 MIDDLETON GROVE DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114784",
            "telephone_number": "813-531-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2538 Middleton Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114784",
            "country_code": "US",
            "telephone_number": "813-531-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNE",
        "first_name": "WOODLYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11021624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.