Individual provider Active NPI

Chace Nacke

  • Nurse Practitioner
  • Mount Dora, FL
National Provider Identifier
1982560611
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11044380 Issued in FL
Practice address
367 W Oak Hill Rd
Mount Dora, FL 32757-4639
Phone
(352) 409-7944
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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 11044380 FL Primary

Addresses

Primary practice location

367 W Oak Hill Rd
Mount Dora, FL 32757-4639

Mailing address

367 W Oak Hill Rd
Mount Dora, FL 32757-4639

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
I20260406000684 FL Practitioner - Nurse Practitioner 9234604596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Sumter Urology, LLCGroup PAC ID 2961896923, 5 clinicians

Practice addresses (Care Compare)

808 Hwy 466
Lady Lake, FL 32159-3918
Phone (352) 775-6899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11044380FLMDNurse Practitioner

Organizations & group practices 1

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": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1982560611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 W OAK HILL RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 W OAK HILL RD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327574639",
            "telephone_number": "352-409-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACKE",
        "first_name": "CHACE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11044380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.