Individual provider Active NPI

Toni Lynette Clark, APRN

  • Nurse Practitioner
  • Hernando, FL
National Provider Identifier
1851808190
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9297900 Issued in FL
Practice address
2400 N Essex Ave
Hernando, FL 34442-5320
Phone
(352) 513-4276
Fax
(352) 513-5843
NPI assigned
Jan 9, 2018
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9297900 FL Primary

Addresses

Primary practice location

2400 N Essex Ave
Hernando, FL 34442-5320

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Other practice location 1

2485 Pinellas Pl
The Villages, FL 32163-2703
Phone (352) 674-1720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address toni.clark.1@4692.direct.athenahealth.com

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
I20180523002804 FL Practitioner - Nurse Practitioner 2860757747 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
Ocala Infectious Disease and Wound Center, IncGroup PAC ID 9234158296, 7 clinicians

Practice addresses (Care Compare)

2651 SW 32ND PL
Ocala, FL 34471-7848
Phone (352) 401-7552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.21 of 100Reported as group
Quality
89.3
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Brill MD PA CurrentSince Sep 9, 2019 Accepting new patients
Ocala Infectious Disease and Wound Center, Inc CurrentSince Sep 9, 2019 Accepting new patients

Locations

2651 SW 32nd Pl
Ocala, FL 34471
Phone (352) 401-7552

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19367/brand/1/csg/1/fhir/r4
  • Direct secure messaging: toni.clark.1@19367.direct.athenahealth.com
  • Direct secure messaging: toni.clark.1@4692.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1851808190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ESSEX AVE",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344425320",
            "telephone_number": "352-513-4276",
            "fax_number": "352-513-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Pinellas Pl",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632703",
            "country_code": "US",
            "telephone_number": "352-674-1720",
            "fax_number": "352-674-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TONI",
        "middle_name": "LYNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9297900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toni.clark.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2400 N Essex Ave",
            "city": "Hernando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344425320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hernando, FL

Sources for this page

Verify at the official NPI Registry.