Individual provider Active NPI

Pamela Perenich, ARNP

  • Family Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1043879661
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002980 Issued in FL
Practice address
1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950
Phone
(727) 943-3405
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Family Nurse Practitioner 363LF0000X APRN11002980 FL Primary

Addresses

Primary practice location

1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950

Mailing address

1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950
Phone (727) 943-3405

Other practice location 1

10835 Avento Pl Apt 303
Trinity, FL 34655-5282
Phone (786) 503-3389

Other practice location 2

2919 W Swann Ave Ste 106
Tampa, FL 33609-4049
Phone (813) 930-2829

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112002243 FL Practitioner - Nurse Practitioner 6002248168 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Plus LLC CurrentSince Mar 21, 2023 Accepting new patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince May 20, 2024 Accepting new patients
West Central Gastroenterology LLP CurrentSince Aug 1, 2021 Accepting new patients
Tampa Oncology and Proton LLC CurrentSince Jul 1, 2021 Accepting new patients
Gastro Florida Pharmacy, LLC PastSince Dec 15, 2019 Accepting new patients

Locations

7284 Broad St
Brooksville, FL 34601
Phone (352) 631-5560

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

2919 W Swann Ave
Ste 106
Tampa, FL 33609
Phone (813) 871-5747

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

1501 S Pinellas Ave
Ste G
Tarpon Springs, FL 34689
Phone (727) 939-1737

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: pperenich2945912@adventhealth.direct-ci.com

Organizations & group practices 5

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1043879661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE STE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891950",
            "telephone_number": "727-943-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE STE G",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891950",
            "telephone_number": "727-943-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10835 Avento Pl Apt 303",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346555282",
            "country_code": "US",
            "telephone_number": "786-503-3389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2919 W Swann Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094049",
            "country_code": "US",
            "telephone_number": "813-930-2829",
            "fax_number": "813-930-9522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERENICH",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.