Individual provider Active NPI

Anya Khan, APRN

  • Gerontology Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1699542092
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11029787 Issued in FL
Practice address
3101 Medical Way
Sebring, FL 33870-5548
Phone
(863) 314-0020
Fax
(863) 314-0024
NPI assigned
Dec 6, 2023
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11029787 FL
Gerontology Nurse Practitioner 363LG0600X APRN11029787 FL Primary

Addresses

Primary practice location

3101 Medical Way
Sebring, FL 33870-5548

Mailing address

2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774

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
I20241119003982 FL Practitioner - Nurse Practitioner 2567997174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

3101 Medical Way
Sebring, FL 33870-5548
Phone (863) 314-0020

4020 US Hwy 27 N
Sebring, FL 33870-1333
Phone (863) 314-0020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029787FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jun 16, 2025 Accepting new patients
Maxwell Medical PLLC CurrentSince Aug 31, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Aug 12, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 16, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

40215 Highway 27
Davenport, FL 33837
Phone (863) 421-9705

2675 Winkler Ave
Ste 200
Fort Myers, FL 33901

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

1396 Whisper Cir
Sebring, FL 33870
Phone (863) 385-1244

3101 Medical Way
Sebring, FL 33870
Phone (863) 314-0020

4020 US 27 N
Sebring, FL 33870
Phone (863) 314-0020

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFDAA

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

Hospital & facility affiliations 1

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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1699542092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019328",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MEDICAL WAY",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705548",
            "telephone_number": "863-314-0020",
            "fax_number": "863-314-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11029787",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11029787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.