Individual provider Active NPI

Janet A McCormick, APRN,FNP-C

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1932644580
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9490453 Issued in FL
Practice address
1301 2ND Ave SW
Largo, FL 33770-2298
Phone
(727) 584-7706
Fax
(727) 501-7332
NPI assigned
Jan 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 RN140719 GA
Family Nurse Practitioner 363LF0000X APRN9490453 FL Primary

Addresses

Primary practice location

1301 2ND Ave SW
Largo, FL 33770-2298

Mailing address

1301 2ND Ave SW
Largo, FL 33770-2298
Phone (727) 584-7706

Other practice location 1

3251 N McMullen Booth Rd Ste 104
Clearwater, FL 33761-2022
Phone (727) 799-0415

Other identifiers 3

IdentifierTypeStateIssuer
101078500MedicaidFL
6910783OtherFLUNITED HEALTHCARE
44G8FOtherFLFLORIDA BLUE

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
I20181211000790 FL Practitioner - Nurse Practitioner 7012292535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

3251 N McMullen Booth Rd
Suite 104
Clearwater, FL 33761-2022
Phone (727) 799-0415

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN140719GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Sep 24, 2024 Accepting new patients

Locations

3131 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 341-0551

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

3251 N McMullen Booth Rd
Ste 103
Clearwater, FL 33761
Phone (727) 725-1003

3251 N McMullen Booth Rd
Ste 104
Clearwater, FL 33761
Phone (727) 799-0415

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

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.

Hospital & facility affiliations 4

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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1932644580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702298",
            "telephone_number": "727-584-7706",
            "fax_number": "727-501-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702298",
            "telephone_number": "727-584-7706",
            "fax_number": "727-501-7332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 N McMullen Booth Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612022",
            "country_code": "US",
            "telephone_number": "727-799-0415",
            "fax_number": "813-635-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JANET",
        "middle_name": "A",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN140719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9490453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101078500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6910783",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "44G8F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.