Individual provider Active NPI

Ann S Payne, NP-C

  • Family Nurse Practitioner
  • Live Oak, FL
National Provider Identifier
1881096501
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.11033229 Issued in FL
Practice address
10820 Marvin Jones Blvd
Live Oak, FL 32064-8243
Phone
(386) 658-5300
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.11033229 FL Primary

Addresses

Primary practice location

10820 Marvin Jones Blvd
Live Oak, FL 32064-8243

Mailing address

10820 Marvin Jones Blvd
Live Oak, FL 32064-8243
Phone (386) 658-5300

Other identifiers 1

IdentifierTypeStateIssuer
0119469MedicaidOH

Other names 1

  • Ann Louise Stone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150407002029 OH Practitioner - Nurse Practitioner 5496073215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.11033229FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Family CurrentSince Jul 1, 2016 Accepting new patients
North Florida Pediatrics, PA Past Accepting new patients
Qofl Services LLC PastSince Jul 1, 2015 Accepting new patients
Begum Internal Medicine LLC Past Accepting new patients
Acv Community Services LLC Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Interoperability endpoints

  • Direct secure messaging: ann.payne.1@23008.direct.athenahealth.com
  • Direct secure messaging: ann.payne.1@32057.direct.athenahealth.com
  • Direct secure messaging: ann.payne.p1@direct.nfpeds.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1881096501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 MARVIN JONES BLVD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320648243",
            "telephone_number": "386-658-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 MARVIN JONES BLVD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320648243",
            "telephone_number": "386-658-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ANN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN.11033229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119469",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "STONE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.