James Luel Poole, APRN
Individual provider Active NPI Nurse Practitioner · Archer, FL
NPI 1780242388 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1780242388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11002563 (FL)
- Practice address
- 16939 SW 134TH Ave
Archer, FL 32618-5413 - Phone
- (352) 265-2550
- Fax
- (352) 627-4785
- NPI assigned
- May 30, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210811000609 | FL | Practitioner - Nurse Practitioner | 5597169615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida College of Nursing Faculty Practice Associati | Psychiatric/Mental Health | Current |
Accepting new patients |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients |
Locations
16939 SW 134th Ave
Archer, FL 32618
Phone (352) 265-2550
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11002563 | FL | |
| Nurse Practitioner | 363L00000X | APRN11002563 | FL | Yes |
Addresses
Primary practice location
16939 SW 134TH Ave
Archer, FL 32618-5413
Mailing address
PO Box 100383
Gainesville, FL 32610-0383
Phone (352) 392-4541
Other practice location 1
1200 NE 55th Blvd
Gainesville, FL 32641-2783
Phone (352) 375-8484
Other practice location 2
1600 SW Archer Rd
Gainesville, FL 32610-2783
Phone (352) 392-4541
Other providers in Archer, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.