Individual provider Active NPI

Jennifer Casola, APRN

  • Nurse Practitioner
  • Lecanto, FL
National Provider Identifier
1992366967
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11002865 Issued in FL
Practice address
2671 W Norvell Bryant Hwy
Lecanto, FL 34461-9440
Phone
(352) 513-5906
Fax
(352) 513-4872
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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 11002865 FL Primary

Addresses

Primary practice location

2671 W Norvell Bryant Hwy
Lecanto, FL 34461-9440

Mailing address

2671 W Norvell Bryant Hwy
Lecanto, FL 34461-9440
Phone (525) 135-9063

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
I20191002001285 FL Practitioner - Nurse Practitioner 0941530042 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
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

502 W Highland Blvd
Citrus Memorial Hospital
Inverness, FL 34452-4720
Phone (352) 726-1551

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002865FLMDNurse Practitioner

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
West Florida Medical Associates, PA CurrentSince Sep 2, 2019 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
West Florida Medical Associates P a Nurse Practitioner CurrentSince Sep 2, 2019 Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

10489 N Florida Ave
Citrus Springs, FL 34434
Phone (352) 344-8080

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

2671 W Norvell Bryant Hwy
Lecanto, FL 34461
Phone (352) 513-5906

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1992366967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 W NORVELL BRYANT HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619440",
            "telephone_number": "525-135-9063",
            "fax_number": "352-513-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 W NORVELL BRYANT HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619440",
            "telephone_number": "352-513-5906",
            "fax_number": "352-513-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOLA",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

Verify at the official NPI Registry.