Individual provider Active NPI

Patti Sue Osborne, FNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1902117716
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9455190 Issued in FL
Practice address
3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone
(352) 732-4032
Fax
(352) 620-0419
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71003202A IN
Primary Care Nurse Practitioner 363LP2300X 71003202A IN
Primary Care Nurse Practitioner 363LP2300X 9455190 FL
Family Nurse Practitioner 363LF0000X APRN9455190 FL Primary

Addresses

Primary practice location

3130 SW 32ND Ave
Ocala, FL 34474-4445

Mailing address

3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 732-4032

Other practice location 1

20661 Ned Love Ave
Dunnellon, FL 34431
Phone (352) 489-2401

Other practice location 2

4781 Kaybee Dr
Gas City, IN 46933-6607
Phone (765) 660-7840

Other practice location 3

4781 Kaybee Dr
Gas City, IN 46933-6607
Phone (765) 660-7840

Other identifiers 3

IdentifierTypeStateIssuer
000000666949OtherINANTHEM
100765200MedicaidFL
200987400MedicaidIN

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
I20170627002142 FL Practitioner - Nurse Practitioner 8729111489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71003202AINMDNurse Practitioner
9455190FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L.a. Oliverio,MD Enterprises, Inc. CurrentSince Apr 20, 2017 Accepting new patients
Ocala Heart Clinic II LLC PastSince Apr 20, 2017 Accepting new patients

Locations

20661 Ned Love Ave
Dunnellon, FL 34431
Phone (352) 489-2401

Interoperability endpoints

  • Direct secure messaging: patti.osborne@fca.ikm.direct-ci.com
  • Direct secure messaging: patti.osborne@mgh.eclinicaldirectplus.com

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1902117716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744445",
            "telephone_number": "352-732-4032",
            "fax_number": "352-620-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SW 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744445",
            "telephone_number": "352-732-4032",
            "fax_number": "352-620-0419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20661 Ned Love Ave",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "34431",
            "country_code": "US",
            "telephone_number": "352-489-2401",
            "fax_number": "352-489-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4781 Kaybee Dr",
            "address_purpose": "LOCATION",
            "city": "Gas City",
            "state": "IN",
            "postal_code": "469336607",
            "country_code": "US",
            "telephone_number": "765-660-7840",
            "fax_number": "765-662-4721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4781 Kaybee Dr",
            "address_purpose": "LOCATION",
            "city": "Gas City",
            "state": "IN",
            "postal_code": "469336607",
            "country_code": "US",
            "telephone_number": "765-660-7840",
            "fax_number": "765-662-4721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "PATTI",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003202A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71003202A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9455190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9455190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000666949",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200987400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.