JANISA RENEE NOEL (APRN) – Licensed Practical Nurse, NPI 1720698376

JANISA RENEE NOEL (APRN) is a healthcare provider. based in Lake city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN9551802 (FL). The NPI Number for JANISA RENEE NOEL (APRN) is 1720698376

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JANISA RENEE NOEL (APRN)
NPI
1720698376
Phone
(813) 716-3995
Address
609 SE BRANDON DR
Enumeration Date
7 August 2020
Last Update Date
6 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3524939500
Graduation Year
2024 (2 years ago)
PAC ID
7810438041
Group Practice PAC ID
6406809433
Professional Enrollment ID
I20251205002068
Address ID
FL326261911CH1113XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JANISA RENEE NOEL (APRN)

  • 609 SE BRANDON DR

    LAKE CITY, FL 320257297

    Phone: (813) 716-3995

    Type: Mailing

  • 1113 NW 23RD AVE

    CHIEFLAND, FL 326261911

    Phone: (352) 493-9500

    Fax: (352) 490-9450

    Type: Location

  • 103 SE 3rd St

    Trenton, FL 326933247

    Phone: (352) 577-5252

    Type: Location

  • 4300 SW 13TH ST

    GAINESVILLE, FL 326084006

    Phone: (352) 374-5600

    Type: Mailing

  • 439 SW MICHIGAN ST

    LAKE CITY, FL 320250440

    Phone: (352) 374-5600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251205002068INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406809433View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YTX
Family Practice, Addiction MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm JANISA RENEE NOEL (APRN)'s NPI?
Yes. JANISA RENEE NOEL (APRN) is listed with NPI 1720698376 in the public NPI dataset.
Is JANISA RENEE NOEL (APRN) listed as active for patients and plans?
The listing shows JANISA RENEE NOEL (APRN) as active in the NPI system.
What is JANISA RENEE NOEL (APRN)'s specialty?
The listing groups JANISA RENEE NOEL (APRN) with Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
Where is JANISA RENEE NOEL (APRN) based?
JANISA RENEE NOEL (APRN) is tied to Lake City, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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