Individual provider Active NPI

Gail Marie Ezell, MSN,RN,CPNP,ARNP

  • Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1891745055
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9328363 Issued in FL
Practice address
357 Wekiva Springs Rd
Longwood, FL 32779-3607
Phone
(321) 280-5867
Fax
(407) 774-1877
NPI assigned
May 10, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9328363 FL Primary

Addresses

Primary practice location

357 Wekiva Springs Rd
Longwood, FL 32779-3607

Mailing address

357 Wekiva Springs Rd
Longwood, FL 32779-3607
Phone (321) 280-5867

Other identifiers 2

IdentifierTypeStateIssuer
425769700MedicaidMO
0039996800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatricians Care Unit PastSince Mar 20, 2022 Accepting new patients
Cannizzaro Integrative Pediatric Center PastSince Mar 20, 2022 Accepting new patients

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, 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": "1647475200000",
    "number": "1891745055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WEKIVA SPRINGS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793607",
            "telephone_number": "321-280-5867",
            "fax_number": "407-774-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WEKIVA SPRINGS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793607",
            "telephone_number": "321-280-5867",
            "fax_number": "407-774-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "GAIL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN,RN,CPNP,ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9328363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425769700",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039996800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.