Individual provider Active NPI

Andjela Nemcevic, MD

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1003441254
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME173384 Issued in FL
Practice address
15416 N Florida Ave
Tampa, FL 33613-1210
Phone
(813) 960-2400
Fax
(813) 960-2410
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME173384 FL Primary

Addresses

Primary practice location

15416 N Florida Ave
Tampa, FL 33613-1210

Mailing address

4197 Woodlands Pkwy
Palm Harbor, FL 34685-3493
Phone (813) 333-1512

Other practice location 1

310 S Macdill Ave Ste 201
Tampa, FL 33609-3489
Phone (813) 609-3810

Other names 1

  • Andjela Nemcevic Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anemcevic@dmp.emadirect.md Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815004409 FL Practitioner - Dermatology 0941709091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Harbor Dermatology PAGroup PAC ID 4789758558, 33 clinicians

Practice addresses (Care Compare)

15416 N Florida Ave
Tampa, FL 33613-1210
Phone (813) 960-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions383
Removal or shaving of skin growth1-10
Skin biopsy147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Harbor Dermatology PA Dermatology CurrentSince Sep 15, 2025 Accepting new patients

Locations

4197 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 786-3810

15416 N Florida Ave
Tampa, FL 33613
Phone (813) 497-7757

15416 N Florida Ave
Ste 100
Tampa, FL 33613

310 S Macdill Ave
Ste 201
Tampa, FL 33609
Phone (813) 609-3810

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anemcevic@dmp.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1003441254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 WOODLANDS PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853493",
            "telephone_number": "813-333-1512",
            "fax_number": "813-333-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15416 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131210",
            "telephone_number": "813-960-2400",
            "fax_number": "813-960-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Macdill Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093489",
            "country_code": "US",
            "telephone_number": "813-609-3810",
            "fax_number": "813-559-1846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMCEVIC",
        "first_name": "ANDJELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME173384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anemcevic@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15416 N Florida Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336131210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDJELA",
            "last_name": "NEMCEVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.