Individual provider Active NPI

Anne K. McBride, MD

  • Dermatology Physician
  • Venice, FL
National Provider Identifier
1013981364
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME81301 Issued in FL
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

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AI305VOtherFLMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000021 FL Practitioner - Dermatology 8729183397 Reassigns benefits to 1 organization

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
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

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 Home health agency, Venice, FL, CCN 687116

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2625
Removal of nail tissue1-10
Removal or shaving of skin growth61
Skin biopsy1115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-226152VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Sep 1, 2014 Accepting new patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince Sep 1, 2014 Accepting new patients
Cary L Dunn M D P a Past Accepting new patients
Warrenton Dermatology PC Dermatology PastSince Jun 12, 2008 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.