CLYDE WILLIAM RENFROE APRN FNP-BC NPI 1275288060

NPI Information

  • NPI: 1275288060
  • Provider Name: CLYDE WILLIAM RENFROE, APRN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22829 STATE ROAD 54
    LAND O LAKES, FL
    ZIP 34639
  • Phone: (813) 915-5459

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NPI Details

Clyde William Renfroe, APRN, FNP-BC is a family nurse practitioner in Land O Lakes, FL with 5 years of experience. Clyde William Renfroe, APRN, FNP-BC NPI is 1275288060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22829 STATE ROAD 54
LAND O LAKES, FL
ZIP 34639-227
Phone: (813) 915-5459
Fax: (813) 345-8172

The NPI 1275288060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 2/21/2022 and was last updated on 5/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAPRN11017161FLORIDANo
2363LF0000XNurse PractitionerFamilyAPRN11017161FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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