HART DIVERSIFIED RESOURCES, INC. — NPI 1942571997 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family in WILLISTON, FL)

CMS-1500 Box 24J / 33a • NPI

1942571997

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LF0000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family

Box 32 Service Location & ZIP+4

125 SW 7TH ST, WILLISTON, FL, 32696-2403

✓ 9-Digit EDI 837 ZIP+4 (32696-2403)

Practice Phone & Referral Fax

(615) 848-8422

Fax: (352) 419-6250

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1942571997 (HART DIVERSIFIED RESOURCES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1942571997` (NPI-2 Organization / Facility)
Provider / Legal Name	HART DIVERSIFIED RESOURCES, INC.
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: `363LF0000X` (Nurse Practitioner, Family)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	125 SW 7TH ST, WILLISTON, FL, 32696-2403
Practice Telephone / Fax	Tel: (615) 848-8422 \| Fax: (352) 419-6250
Administrative Mailing Address	6746 E HAYNES LN, INVERNESS, FL, 34452-7616
Enumeration & Last Sync	Enumerated: 2012-01-23 \| CMS Record Updated: 2012-01-23
Authorized Official	LAURA HART (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

125 SW 7TH ST, WILLISTON, FL, 32696-2403

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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HART DIVERSIFIED RESOURCES, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: FL \| License: `9312614` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HART DIVERSIFIED RESOURCES, INC. (NPI #1942571997)