Individual provider Active NPI

Erin Jones

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1811364391
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.013083 Issued in IL
Practice address
7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Phone
(217) 877-9117
NPI assigned
Aug 31, 2015
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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 209.013083 IL Primary

Addresses

Primary practice location

7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437

Mailing address

2905 N Main St
Decatur, IL 62526-4274
Phone (217) 877-9117

Other identifiers 1

IdentifierTypeStateIssuer
021075800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160420002235 IL Practitioner - Nurse Practitioner 9234398033 Reassigns benefits to 1 organization
I20170711002754 FL Practitioner - Nurse Practitioner 9234398033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.013083ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Improvement Center Current Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Community Health Improvement Center CurrentSince Feb 20, 2016 Accepting new patients
Community Health Improvement Center CurrentSince Feb 20, 2016 Accepting new patients
Premier Community Healthcare Group Inc CurrentSince Jun 1, 2017 Accepting new patients
Premier Community Healthcare Group Inc Past Accepting new patients
Premier Community Healthcare Group, Inc. Past Accepting new patients

Locations

300 S Main St
Brooksville, FL 34601
Phone (352) 540-6800

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

37944 Pasco Ave
Dade City, FL 33525

11611 Denton Ave
Hudson, FL 34667
Phone (727) 861-5250

5957 Rowan Rd
New Port Richey, FL 34653
Phone (727) 645-4185

7551 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 540-6800

37920 Medical Arts Ct
Zephyrhills, FL 33541

38030 Daughtery Rd
Zephyrhills, FL 33540
Phone (813) 780-0711

2905 N Main St
Decatur, IL 62526
Phone (217) 877-9117

320 E Central Ave
Decatur, IL 62521
Phone (217) 877-4694

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1811364391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264274",
            "telephone_number": "217-877-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 FOREST OAKS BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062437",
            "telephone_number": "217-877-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021075800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.