Individual provider Active NPI

Joshua E Kolanko, C-FNP

  • Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1821086745
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARPR9328710 Issued in FL
Practice address
16025 Muirfield Dr
Odessa, FL 33556-2861
Phone
(813) 226-3332
Fax
(813) 793-7644
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MK1233357 WV
Nurse Practitioner 363L00000X ARPR9328710 FL Primary

Addresses

Primary practice location

16025 Muirfield Dr
Odessa, FL 33556-2861

Mailing address

PO Box 22
Odessa, FL 33556-0022
Phone (813) 226-3332

Other practice location 1

17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone (352) 796-5111

Other practice location 2

16025 Muirfield Dr
Odessa, FL 33556-2861
Phone (304) 794-9088

Other identifiers 3

IdentifierTypeStateIssuer
008481300MedicaidFL
Y048RQOtherFLMEDICARE
3810002050MedicaidWV

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
I20040524000595 FL Practitioner - Nurse Practitioner 8224029608 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MK1233357WVMDFamily Medicine Physician
ARPR9328710FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Continuum Medical Solutions, LLC CurrentSince Mar 15, 2020 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Medicine CurrentSince Aug 25, 2021 Accepting new patients
Lake Wales Emergency Physicians, LLC Nurse Practitioner CurrentSince Apr 17, 2016 Accepting new patients
Urgent Care Centers of Brevard County LLC Family Medicine CurrentSince Aug 25, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Aug 25, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC Family Medicine CurrentSince Aug 25, 2021 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Dec 24, 2025 Accepting new patients
W4P LLC CurrentSince Jan 1, 2017 Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients
Emergency Medicine Physicians of Brooke County, PLLC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jkolanko296116@direct.tgh.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1821086745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335560022",
            "telephone_number": "813-226-3332",
            "fax_number": "813-793-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16025 MUIRFIELD DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562861",
            "telephone_number": "813-226-3332",
            "fax_number": "813-793-7644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17240 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346018921",
            "country_code": "US",
            "telephone_number": "352-796-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16025 Muirfield Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335562861",
            "country_code": "US",
            "telephone_number": "304-794-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLANKO",
        "first_name": "JOSHUA",
        "middle_name": "E",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-02-24",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "MK1233357",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARPR9328710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008481300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y048RQ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002050",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.