MONA SUE MCDOWELL APRN
NPI 1316536345
Nurse Practitioner - Family in Winter Haven, FL
About Mona Sue Mcdowell Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONA SUE MCDOWELL APRN (NPI 1316536345) is an individual family provider in Winter Haven, Florida, licensed in Florida (APRN11011085) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mona Sue Mcdowell Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mona Mcdowell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winter Haven, FL 33881
- Reassigned Medicare billing, Florida enrollment
- 165 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33881 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTER HAVEN, FL 33881
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mona Mcdowell's NPI number?
The NPI number for Mona Mcdowell is 1316536345. It was assigned to this individual provider in the NPPES registry on January 14, 2021.
Where is Mona Mcdowell located?
Mona Mcdowell practices at 1514 1st St N, Winter Haven, FL 33881. The listed phone number is (866) 234-8534.
What is Mona Mcdowell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mona Mcdowell enrolled in Medicare?
Yes. Mona Mcdowell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mona Mcdowell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mona Mcdowell reassigns Medicare benefits to Central Florida Health Care Inc (Winter Haven, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mona Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mona Mcdowell accept?
Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, UnitedHealthcare and Wellpoint list Mona Mcdowell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mona Mcdowell was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mona Sue Mcdowell, APRN · NPI 1316536345
Family physician in Winter Haven, Florida. Individual provider, active in the CMS NPPES registry since January 14, 2021.
## Identity
- **NPI:** 1316536345 (Entity type: Individual)
- **Enumerated:** January 14, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11011085 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1514 1ST ST N, Winter Haven, FL 33881-2476
- **Phone:** (866) 234-8534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Florida Health Care Inc (NPI 1467752998, Winter Haven, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316536345) · Data from the CMS NPPES public registry.