Individual provider Active NPI

Azalee L Brown

  • Family Nurse Practitioner
  • Mount Dora, FL
National Provider Identifier
1811407448
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9264744 Issued in FL
Practice address
1945 Bay Rd
Mount Dora, FL 32757-2105
Phone
(352) 483-5633
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 ARNP9264744 FL Primary

Addresses

Primary practice location

1945 Bay Rd
Mount Dora, FL 32757-2105

Mailing address

3283 Spicer Ave
Grand Island, FL 32735-9018
Phone (352) 408-4805

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
I20171130000649 FL Practitioner - Nurse Practitioner 8921365966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Manoogian Orthopedic Center PAGroup PAC ID 6507826096, 4 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1945 Bay Rd
Mount Dora, FL 32757-2105
Phone (352) 483-5633

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
94.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manoogian Orthopedic Center, P.a. CurrentSince Nov 1, 2017 Accepting new patients

Locations

8135 Centralia Ct
Ste 101
Leesburg, FL 34788
Phone (352) 360-0654

1945 Bay Rd
Mount Dora, FL 32757
Phone (352) 483-5633

3900 Lake Center Dr
Ste A1
Mount Dora, FL 32757
Phone (525) 627-5903

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

910 Old Camp Rd
Ste 200
The Villages, FL 32162
Phone (352) 612-1971

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: abrown725180@direct.shands.ufl.edu

Organizations & group practices 1

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 5

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1811407448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 SPICER AVE",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359018",
            "telephone_number": "352-408-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 BAY RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572105",
            "telephone_number": "352-483-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AZALEE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9264744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.