Individual provider Active NPI

Walter Mason Jahna, APRN

  • Family Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1740931302
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017555 Issued in FL
Practice address
4409 Sun N Lake Blvd
Sebring, FL 33872-2170
Phone
(863) 402-3480
Fax
(863) 402-3483
NPI assigned
Jan 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 APRN11017555 FL Primary

Addresses

Primary practice location

4409 Sun N Lake Blvd
Sebring, FL 33872-2170

Mailing address

997 Entrance Rd
Avon Park, FL 33825-9105
Phone (863) 443-6329

Other practice location 1

524 Carlton St
Wauchula, FL 33873-3408
Phone (863) 767-8333

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
I20220225001030 FL Practitioner - Nurse Practitioner 1557755006 Reassigns benefits to 2 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
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

Practice addresses (Care Compare)

4409 Sun N Lake Blvd
Sebring, FL 33872-2170
Phone (863) 402-3480

524 Carlton St
Wauchula, FL 33873-3408
Phone (863) 386-0055

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Current Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Mar 13, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Mar 13, 2022 Accepting new patients

Locations

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

4409 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-0001

524 Carlton St
Wauchula, FL 33873
Phone (863) 767-8333

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: wjahna617927@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1740931302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 ENTRANCE RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259105",
            "telephone_number": "863-443-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722170",
            "telephone_number": "863-402-3480",
            "fax_number": "863-402-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Carlton St",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733408",
            "country_code": "US",
            "telephone_number": "863-767-8333",
            "fax_number": "863-767-8334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHNA",
        "first_name": "WALTER",
        "middle_name": "MASON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.