Individual provider Active NPI

Rebecca Sue Medlin, APRN

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1982007449
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9317071 Issued in FL
Practice address
930 Lake Baldwin LN
Orlando, FL 32814-6651
Phone
(407) 898-1500
Fax
(407) 898-3022
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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 ARNP9317071 FL Primary

Addresses

Primary practice location

930 Lake Baldwin LN
Orlando, FL 32814-6651

Mailing address

930 Lake Baldwin LN
Orlando, FL 32814-6651
Phone (407) 898-1500

Other names 1

  • Rebecca Sue Groshner Former name

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
I20150106001009 FL Practitioner - Nurse Practitioner 9830412451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9317071FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Nov 1, 2014 Accepting new patients
Manatee Gynecology LLC CurrentSince Oct 8, 2018 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

930 Lake Baldwin Ln
Orlando, FL 32814
Phone (407) 898-1500

Interoperability endpoints

  • Direct secure messaging: rebecca.groshner.1@2183.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD

Organizations & group practices 3

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1982007449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 LAKE BALDWIN LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146651",
            "telephone_number": "407-898-1500",
            "fax_number": "407-898-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 LAKE BALDWIN LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146651",
            "telephone_number": "407-898-1500",
            "fax_number": "407-898-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "REBECCA SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9317071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GROSHNER",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.