Individual provider Active NPI

Anastasia G. Bogris Cronin, APRN

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1053837088
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2149802 Issued in FL
Practice address
4923 Blue Heron Dr
New Port Richey, FL 34652-4405
Phone
(727) 637-4868
NPI assigned
Aug 22, 2017
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2149802 FL Primary

Addresses

Primary practice location

4923 Blue Heron Dr
New Port Richey, FL 34652-4405

Mailing address

4923 Blue Heron Dr
New Port Richey, FL 34652-4405
Phone (727) 637-4868

Other identifiers 1

IdentifierTypeStateIssuer
2149802OtherFLARNP FL LICENSE NUMBER

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
I20171129001676 FL Practitioner - Nurse Practitioner 8729345707 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2149802FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Healthcare Associates, LLC CurrentSince May 1, 2022 Accepting new patients
Ariel Health Family CurrentSince May 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1053837088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 BLUE HERON DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524405",
            "telephone_number": "727-637-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 BLUE HERON DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524405",
            "telephone_number": "727-637-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGRIS CRONIN",
        "first_name": "ANASTASIA",
        "middle_name": "G.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2149802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP FL LICENSE NUMBER",
            "identifier": "2149802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.