Individual provider Active NPI

Kristin Marie Rerra, APRN

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1881204188
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007746 Issued in FL
Practice address
1805 SE Lake Weir Ave Ste B
Ocala, FL 34471-5426
Phone
(352) 867-9601
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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 APRN11007746 FL Primary

Addresses

Primary practice location

1805 SE Lake Weir Ave Ste B
Ocala, FL 34471-5426

Mailing address

3629 NW 38TH St
Gainesville, FL 32606-6101
Phone (352) 870-7980

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
I20200826000667 FL Practitioner - Nurse Practitioner 1254758923 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Phone (904) 407-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.61 of 100Reported as group
Quality
77.5
Improvement activities
20
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Internal Medicine Associates CurrentSince Jul 17, 2020 Accepting new patients
Alivia Care Solutions, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Focus Healthcare PA CurrentSince Jul 17, 2020 Accepting new patients
Alivia Care Solutions, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2023 Accepting new patients
Community Hospice of Northeast Florida Inc CurrentSince Jul 19, 2021 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

6420 W Newberry Rd
Ste 100
Gainesville, FL 32605
Phone (352) 332-3900

4266 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 268-5200

1805 SE Lake Weir Ave
Ste B
Ocala, FL 34471
Phone (352) 629-9634

4801 S Congress Ave
Ste 400
Palm Springs, FL 33461

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Interoperability endpoints

  • Direct secure messaging: krerra9654@direct.shands.ufl.edu

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.

Hospital & facility affiliations 2

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1881204188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 NW 38TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066101",
            "telephone_number": "352-870-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SE LAKE WEIR AVE STE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715426",
            "telephone_number": "352-867-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RERRA",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.