Individual provider Active NPI

Robin Nielsen, APRN

  • Family Nurse Practitioner
  • Eustis, FL
National Provider Identifier
1750069209
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027270 Issued in FL
Practice address
2101 Prevatt St
Eustis, FL 32726-6131
Phone
(352) 589-4774
Fax
(352) 589-5092
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 APRN11027270 FL Primary

Addresses

Primary practice location

2101 Prevatt St
Eustis, FL 32726-6131

Mailing address

1631 Rock Springs Rd # 367
Apopka, FL 32712-2229
Phone (407) 650-2558

Other practice location 1

1631 Rock Springs Rd # 367
Apopka, FL 32712-2229
Phone (352) 589-4774

Other identifiers 1

IdentifierTypeStateIssuer
118774100MedicaidFL

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
I20240826002743 FL Practitioner - Nurse Practitioner 2264971944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Lake Internal Medicine AssociatesGroup PAC ID 4981770492, 3 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2101 Prevatt St
Eustis, FL 32726-6131
Phone (407) 509-0312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027270FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Internal Medicine Associates Family CurrentSince Aug 27, 2024 Accepting new patients
Complex Care of Central Florida Family CurrentSince Jun 14, 2024 Accepting new patients
Complex Health Partners LLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

1631 Rock Springs Rd
Apopka, FL 32712
Phone (407) 650-2558

2101 Prevatt St
Eustis, FL 32726
Phone (352) 589-4774

Interoperability endpoints

  • Direct secure messaging: robin.nielsen@392.securemail.mdnavigatorclinical.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1750069209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ROCK SPRINGS RD # 367",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122229",
            "telephone_number": "407-650-2558",
            "fax_number": "407-650-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PREVATT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266131",
            "telephone_number": "352-589-4774",
            "fax_number": "352-589-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Rock Springs Rd # 367",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327122229",
            "country_code": "US",
            "telephone_number": "352-589-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ROBIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118774100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.