Individual provider Active NPI

Corinne Zdanuk, APRN

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1851913875
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020617 Issued in FL
Practice address
16529 SE 86TH Belle Meade Cir
The Villages, FL 32162-5885
Phone
(872) 231-3162
NPI assigned
May 13, 2020
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11020617 FL
Family Nurse Practitioner 363LF0000X CNP201122 ME
Family Nurse Practitioner 363LF0000X APRN11020617 FL Primary

Addresses

Primary practice location

16529 SE 86TH Belle Meade Cir
The Villages, FL 32162-5885

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other identifiers 1

IdentifierTypeStateIssuer
119084800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201001002062 ME Practitioner - Nurse Practitioner 1153740691 Reassigns benefits to 2 organizations
I20221206000821 FL Practitioner - Nurse Practitioner 1153740691 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology and Nutrition of Central Florida LLC CurrentSince Jun 12, 2023 Accepting new patients
York Hospital CurrentSince Sep 13, 2021 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Aug 1, 2023 Accepting new patients
National Health Rehabilitation LLC CurrentSince Dec 16, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 16, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 16, 2024 Accepting new patients

Locations

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

2000 Edgewood Ave
Leesburg, FL 34748
Phone (352) 431-2482

700 N Palmetto St
Leesburg, FL 34748
Phone (352) 323-2400

715 E Dixie Ave
Leesburg, FL 34748
Phone (352) 326-7999

822 Perkins St
Leesburg, FL 34748
Phone (352) 315-4111

9832 US Highway 441
Ste 101
Leesburg, FL 34788
Phone (352) 787-3341

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290

16529 SE 86th Belle Meade Cir
The Villages, FL 32162
Phone (352) 385-8200

630 Griffin Ave
The Villages, FL 32159
Phone (352) 245-6922

489 State St
Bangor, ME 04401
Phone (207) 973-8837

35 Walker St
Kittery, ME 03904
Phone (207) 439-4430

127 Long Sands Rd
Ste 11
York, ME 03909
Phone (207) 361-3888

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

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

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1851913875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16529 SE 86TH BELLE MEADE CIR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625885",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANUK",
        "first_name": "CORINNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11020617",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119084800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.