Compassionate Care Primary Service

Key facts

NPI: 1790453041
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
Legal business name: COMPASSIONATE CARE PRIMARY SERVICE
Practice address: 18490 NE 76TH LN
Williston, FL 32696-3810
Phone: (352) 284-4095
Fax: (641) 323-5203
NPI assigned: Sep 1, 2021
Organization subpart: No

Authorized official

Name: Mrs. Dironada Gross Strange, APRN NPI 1033642210
Title: Nurse Practitioner
Phone: (352) 284-4095

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Dironada Gross Strange, ARNP Nurse Practitioner · Gainesville, FL · NPI 1033642210

Medicare reassignment Authorized official FL

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
10D2236846	Compassionate Care Primary Service, LLC 18490 NE 76TH Lane, Williston, FL 32696	Certificate of waiver	Sep 20, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20230217000971	FL	Part B Supplier - Clinic/Group Practice	2860864980	Receives reassigned benefits from 1 practitioner Practice locations: Williston, FL

National Provider Directory

Locations

9200 NW 39th Ave
Ste 1303153
Gainesville, FL 32606

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X			Yes

Addresses

Primary practice location

18490 NE 76TH LN
Williston, FL 32696-3810

Mailing address

18490 NE 76TH LN
Williston, FL 32696-3810
Phone (352) 284-4095

Other providers in Williston, FL

All providers in Williston, FL · Primary Care Clinic/Center in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. 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.
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.

Verify at the official NPI Registry.