Individual provider Active NPI

Jacqueline McDaniel, FNP

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1932280799
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011656 Issued in FL
Practice address
4758 Rowan Rd
New Port Richey, FL 34653-5601
Phone
(727) 312-2040
Fax
(888) 806-9655
NPI assigned
Oct 18, 2006
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006305 TN
Family Nurse Practitioner 363LF0000X APRN11011656 FL Primary

Addresses

Primary practice location

4758 Rowan Rd
New Port Richey, FL 34653-5601

Mailing address

4440 Fruitville Rd
Sarasota, FL 34232-1926
Phone (941) 300-4440

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
I20210818002406 FL Practitioner - Nurse Practitioner 1850317264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

4758 Rowan Rd
New Port Richey, FL 34653-5601
Phone (727) 312-2040

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000006305TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Family CurrentSince Jul 26, 2021 Accepting new patients
Can Community Health Inc. CurrentSince Jul 26, 2021 Accepting new patients
Can Community Health, Inc. Past Accepting new patients
Primary Care PLLC Past Accepting new patients
Goodlife Medical Center, PLLC Past Accepting new patients
Quality Health PLLC Past Accepting new patients

Locations

2349 Sunset Point Rd
Ste 405
Clearwater, FL 33765
Phone (727) 216-6193

4758 Rowan Rd
New Port Richey, FL 34653
Phone (727) 312-2040

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

3251 3rd Ave N
Rm 125
St Petersburg, FL 33713
Phone (727) 321-2527

Interoperability endpoints

  • Direct secure messaging: jacqueline.mcdaniel@can.eclinicaldirectplus.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, 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1932280799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321926",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535601",
            "telephone_number": "727-312-2040",
            "fax_number": "888-806-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.