Individual provider Active NPI

Anna M Louiso, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arcadia, FL
National Provider Identifier
1871542290
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9470404 Issued in FL
Practice address
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Phone
(863) 494-1242
NPI assigned
May 10, 2006
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 3003878 KY
Family Nurse Practitioner 363LF0000X 3003878 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9470404 FL Primary

Addresses

Primary practice location

725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

1370 Rogersville Rd
Radcliff, KY 40160-9344
Phone (270) 351-2323

Other identifiers 5

IdentifierTypeStateIssuer
000000664919OtherKYBC/BS
78008539MedicaidKY
50004084OtherKYPASSPORT
50004084OtherKYPASSPORT ADVANTAGE
P00757198OtherKYRAILROAD MCR

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
I20220312000338 FL Practitioner - Nurse Practitioner 9335210830 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Center for the Homeless IncGroup PAC ID 6103895107, shared by 5 NPIs, 51 clinicians
Ace Behavioral Health LLCGroup PAC ID 2668984675, 38 clinicians

Practice addresses (Care Compare)

232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone 4074285751329

5406 Hoover Blvd
Suite 18
Tampa, FL 33634-5330
Phone (866) 770-4104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9470404FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Mar 8, 2022 Accepting new patients
Citrus County Rural Health Inc CurrentSince Jan 1, 2026 Accepting new patients
MCR Health, Inc. CurrentSince Mar 8, 2022 Accepting new patients
Ace Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Family Care Center Magnolia Nurse Practitioner Past Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

927 N Citrus Ave
Crystal River, FL 34428
Phone (352) 404-5588

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (866) 770-4104

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1871542290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N 12TH AVE BLDG B",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668752",
            "telephone_number": "863-494-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Rogersville Rd",
            "address_purpose": "LOCATION",
            "city": "Radcliff",
            "state": "KY",
            "postal_code": "401609344",
            "country_code": "US",
            "telephone_number": "270-351-2323",
            "fax_number": "270-351-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUISO",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003878",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9470404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000664919",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78008539",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50004084",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "50004084",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P00757198",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.