Individual provider Active NPI

Edward Scott Smith, ARNP NP-C

  • Family Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1821372772
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3055462 Issued in FL
Practice address
12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone
(352) 556-5216
NPI assigned
Oct 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

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 ARNP3055462 FL Primary

Addresses

Primary practice location

12220 Cortez Blvd
Brooksville, FL 34613-2631

Mailing address

12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone (352) 556-5216

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
I20120514000369 FL Practitioner - Nurse Practitioner 5496918369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care One of Florida LLCGroup PAC ID 5496752347, 14 clinicians

Practice addresses (Care Compare)

11115 County Line Rd
Spring Hill, FL 34609-5615
Phone (352) 683-1982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care One of Florida LLC CurrentSince Feb 18, 2012 Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients

Locations

12220 Cortez Blvd
Brooksville, FL 34613
Phone (352) 556-5216

7117 State Road 52
Hudson, FL 34667
Phone (727) 866-2128

11115 County Line Rd
Spring Hill, FL 34609
Phone (352) 666-9990

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1821372772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-556-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-556-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "ARNP NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3055462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.