Individual provider Active NPI

Jacob Aaron Levy, APRN

  • Acute Care Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1689915860
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN9278884 Issued in FL
Practice address
18167 US Highway 19 N
Clearwater, FL 33764-3528
Phone
(727) 507-3600
NPI assigned
Mar 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN9278884 FL Primary
Gerontology Nurse Practitioner 363LG0600X APRN9278884 FL

Addresses

Primary practice location

18167 US Highway 19 N
Clearwater, FL 33764-3528

Mailing address

2700 Healing Way Ste 308
Wesley Chapel, FL 33543-5492
Phone (813) 929-5226

Other practice location 1

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3402

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
I20130628000486 FL Practitioner - Nurse Practitioner 9638319403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Medical Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Jan 12, 2022 Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC CurrentSince Sep 1, 2015 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jan 12, 2021 Accepting new patients
Observation Medical Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Oakfield Drive Emergency Physicians LLC Past Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

2700 Healing Way
Ste 308
Wesley Chapel, FL 33543
Phone (813) 929-5226

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1689915860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 308",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435492",
            "telephone_number": "813-929-5226",
            "fax_number": "813-929-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528",
            "telephone_number": "727-507-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Sun N Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338721986",
            "country_code": "US",
            "telephone_number": "863-402-3402",
            "fax_number": "863-402-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9278884",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9278884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.