NPIMap

Individual provider Active NPI

Antje Mareike Floegel, M.D.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1063574010
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95193 Issued in FL
Practice address
4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone
(352) 332-7770
Fax
(352) 373-6144
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME95193 FL Primary

Addresses

Primary practice location

4343 W Newberry Rd
Gainesville, FL 32607-2817

Mailing address

4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 416-1082

Other identifiers 3

IdentifierTypeStateIssuer
019055800MedicaidFL
274964500MedicaidFL
U72892OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000431 FL Practitioner - Family Practice 9436169760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Simedhealth LLCGroup PAC ID 6608137054, 89 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

4343 Newberry Rd
Suite 11
Gainesville, FL 32607-2825
Phone (352) 416-1082

4343 W Newberry Rd
Gainesville, FL 32607-2817
Phone (352) 416-1082

4343 W Newberry Rd
Suite 10
Gainesville, FL 32607-2825
Phone (352) 416-1082

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Gainesville, FL, CCN 108048
  • Centerwell Home Health Home health agency, Gainesville, FL, CCN 107486
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as individual
Quality
85.62
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95193FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simed Health LLC CurrentSince Aug 5, 2019 Accepting new patients
Simedhealth LLC CurrentSince Aug 5, 2019 Accepting new patients
Freeport Family Medicine LLC Family Medicine Past Accepting new patients

Locations

4343 Newberry Rd
Ste 7
Gainesville, FL 32607
Phone (352) 331-3077

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

23741 W US Highway 27
High Springs, FL 32643

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61408
  • Direct secure messaging: antje.floegel@simedhealth.directbygreenway.com

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 10

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1063574010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072817",
            "telephone_number": "352-332-7770",
            "fax_number": "352-373-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOEGEL",
        "first_name": "ANTJE",
        "middle_name": "MAREIKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019055800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274964500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U72892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.