Active NPI
Jennifer Casola, APRN
- Nurse Practitioner
- Lecanto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11002865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
- HCA Florida Citrus Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002865 | FL | MD | Nurse Practitioner |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| West Florida Medical Associates, PA | Current | Accepting new patients | |
| FL-I Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| FL-I Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| West Florida Medical Associates P a | Nurse Practitioner | Current | 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.
-
- Internal Medicine Physician
- Beverly Hills, FL
- NPI 1265515001
FL, Nurse Practitioner
-
- Family Medicine Physician
- Inverness, FL
- NPI 1770724130
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
Hospice
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
Hospice
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
Hospice
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
Hospice
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
- Lailatullah Burgos, APRN, NP-C
- Carol W Burke, R.D., L.D.
- Austin John Burket, PA-C
- Francisco Jose Carreras-Miranda, MD
- Yanel A de Miranda Casanova, M.,A.E., ED.S.
- John Parker Chapman II
- Hari Priya Chebrolu, DMD
- Amy Susan Choto, P.T.
- Robert Purcell Christiansen, MS, CAP
- Citrus Anesthesia Providers LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.