NPIMap

Individual provider Active NPI

Desiree Whittenbarger, APRN

  • Adult Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1982371894
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11015104 Issued in FL
Practice address
1720 SE 16TH Ave Ste 304
Ocala, FL 34471-4620
Phone
(352) 857-8417
NPI assigned
Aug 27, 2021
Last updated
Oct 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11015104 FL Primary

Addresses

Primary practice location

1720 SE 16TH Ave Ste 304
Ocala, FL 34471-4620

Mailing address

1805 SE Lake Weir Ave Ste B
Ocala, FL 34471-5426
Phone (352) 867-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108002046 FL Practitioner - Nurse Practitioner 2062801392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Elyaman Medical Services PAGroup PAC ID 4284923467, 19 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

1720 SE 16TH Ave
Suite 304
Ocala, FL 34471-4620
Phone (352) 857-8417

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015104FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Respire Pulmonary and Sleep Medicine LLC CurrentSince Sep 6, 2022 Accepting new patients
Elyaman Medical Services PA Adult Health CurrentSince Oct 21, 2024 Accepting new patients
Marion Heart Center, PA PastSince Nov 6, 2016 Accepting new patients

Locations

2484 N Essex Ave
Hernando, FL 34442
Phone (352) 249-5345

1720 SE 16th Ave
Ste 304
Ocala, FL 34471
Phone (352) 559-0354

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61565
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJDCD

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1982371894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SE LAKE WEIR AVE STE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715426",
            "telephone_number": "352-867-9601",
            "fax_number": "904-778-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 304",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-857-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENBARGER",
        "first_name": "DESIREE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11015104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.