Active NPI
Anne K. McBride, MD
- Dermatology Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME81301
- Practice address
- 1295 Jacaranda Blvd
Venice, FL 34292-4522 - Phone
- (941) 484-1510
- Fax
- (941) 484-1071
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101-226152 | VA | |
| Dermatology Physician | 207N00000X | ME81301 | FL | Primary |
Addresses
Primary practice location
1295 Jacaranda Blvd
Venice, FL 34292-4522
Mailing address
15051 S Tamiami TRL
Suite 203
Fort Myers, FL 33908-5182
Phone (239) 437-8810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AI305V | Other | FL | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- West Virginia University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075
1295 Jacaranda Blvd
Venice, FL 34292-4522
Phone (941) 484-1510
14840 Tamiami TRL
North Port, FL 34287-2701
Phone (941) 564-1542
2481 Bobcat Village Ctr Rd
Unit 101
North Port, FL 34288-8493
Phone (941) 955-0360
Hospital & facility affiliations
- Haven Home Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 2625 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 61 |
| Skin biopsy | 1115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-226152 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients | |
| Aqua Dermatology of Florida, PA | Dermatology | Current | Accepting new patients |
| Cary L Dunn M D P a | Past | Accepting new patients | |
| Warrenton Dermatology PC | Dermatology | Past | Accepting new patients |
Locations
1012 N Mills Ave
Arcadia, FL 34266
Phone (863) 494-2663
13641 Metropolis Ave
Ste 102
Fort Myers, FL 33912
Phone (239) 208-4408
15051 S Tamiami Trl
Ste 203
Fort Myers, FL 33908
Phone (239) 732-5959
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542
2481 Bobcat Village Center Rd
Unit 101
North Port, FL 34288
Phone (941) 538-7319
1295 Jacaranda Blvd
Venice, FL 34292
Phone (941) 484-1510
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- amcbride@aquadermatology.emadirect.md
Organizations & group practices 4
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.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
-
- MOHS-Micrographic Surgery Physician
- Sarasota, FL
- NPI 1528023389
-
- Dermatology Physician
- Warrenton, VA
- NPI 1396778205
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Venice, FL
- NPI 1518429166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1013981364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 S TAMIAMI TRL",
"address_2": "SUITE 203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085182",
"telephone_number": "239-437-8810",
"fax_number": "239-313-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924522",
"telephone_number": "941-484-1510",
"fax_number": "941-484-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "ANNE",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101-226152",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME81301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AI305V",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.