Individual provider Active NPI

Lori Dupere

  • Medical Physician Assistant
  • Ocala, FL
National Provider Identifier
1861035453
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112800 Issued in FL
Practice address
2237 SW 19TH Avenue Rd Ste 101
Ocala, FL 34471-7751
Phone
(352) 867-9877
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112800 FL Primary

Addresses

Primary practice location

2237 SW 19TH Avenue Rd Ste 101
Ocala, FL 34471-7751

Mailing address

2237 SW 19TH Avenue Rd Ste 101
Ocala, FL 34471-7751
Phone (352) 867-9877

Other practice location 1

3002 SE 1st Ave Ste 100
Ocala, FL 34471-0407
Phone (352) 368-2448

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
I20230523000118 FL Practitioner - Physician Assistant 2769848415 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112800FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Neuroligical Center, LLC PastSince Nov 12, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18517/brand/1/csg/1/fhir/r4

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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1861035453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 SW 19TH AVENUE RD STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717751",
            "telephone_number": "352-867-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 SW 19TH AVENUE RD STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717751",
            "telephone_number": "352-867-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3002 SE 1st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710407",
            "country_code": "US",
            "telephone_number": "352-368-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPERE",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.