Individual provider Active NPI

Mary E Josefyk, DNP, APRN

  • Primary Care Nurse Practitioner
  • Lake Placid, FL
National Provider Identifier
1831578145
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN1746942 Issued in FL
Practice address
13 N Main Ave
Lake Placid, FL 33852-2603
Phone
(863) 659-1079
Fax
(863) 659-1317
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN1746942 FL
Primary Care Nurse Practitioner 363LP2300X APRN1746942 FL Primary

Addresses

Primary practice location

13 N Main Ave
Lake Placid, FL 33852-2603

Mailing address

PO Box 718
Lake Placid, FL 33862-0718
Phone (863) 659-1079

Other names 1

  • Mary Josefyk Professional name

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
I20151112001113 FL Practitioner - Nurse Practitioner 3173833613 Reassigns benefits to 2 organizations
Practice locations: Lake Placid, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 N Main Ave
Lake Placid, FL 33852-2603
Phone (863) 659-1079

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Sebring, FL, CCN 107345
  • Concierge Home Care Home health agency, Tampa, FL, CCN 108019
  • Palms Home Care Home health agency, Sebring, FL, CCN 108305
  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049

Merit-based Incentive Payment System (MIPS)

Final score
23.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1746942FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Family CurrentSince Dec 28, 2019 Accepting new patients
Mary Josefyk DNP Aprn PA Family CurrentSince Oct 1, 2023 Accepting new patients
Treasure Coast Medical Associates CurrentSince Mar 13, 2019 Accepting new patients
Treasure Coast Medical Associates CurrentSince Mar 13, 2019 Accepting new patients
Stephaniedelbert,Arnp,Inc CurrentSince Sep 17, 2023 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Dec 28, 2019 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

13 N Main Ave
Lake Placid, FL 33852
Phone (863) 659-1079

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

4421 Sun N Lake Blvd
Ste B
Sebring, FL 33872
Phone (863) 382-9600

Organizations & group practices 6

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 6

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1831578145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338620718",
            "telephone_number": "863-659-1079",
            "fax_number": "863-659-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N MAIN AVE",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338522603",
            "telephone_number": "863-659-1079",
            "fax_number": "863-659-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEFYK",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1746942",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN1746942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JOSEFYK",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Placid, FL

Sources for this page

Verify at the official NPI Registry.