Individual provider Active NPI

David A Atwell, FNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1063870889
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9491899 Issued in FL
Practice address
316 Manatee Ave W
Bradenton, FL 34205-8805
Phone
(941) 748-2277
Fax
(941) 748-1958
NPI assigned
Feb 8, 2016
Last updated
Dec 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-100230 AL
Family Nurse Practitioner 363LF0000X APRN9491899 FL Primary

Addresses

Primary practice location

316 Manatee Ave W
Bradenton, FL 34205-8805

Mailing address

367 S Gulph Rd
King of Prussia, PA 19406-3121
Phone (941) 748-2277

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
I20200224000236 FL Practitioner - Nurse Practitioner 5597058552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Urgent Care LLCGroup PAC ID 6002240967, 18 clinicians

Practice addresses (Care Compare)

8927 US Hwy 301 N
Suite 210
Parrish, FL 34219-8701
Phone (941) 845-4621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-100230ALMDNurse Practitioner
APRN9491899FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Anniston Pathology Current Accepting new patients
FL - I Medical Services LLC Nurse Practitioner CurrentSince Mar 17, 2021 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Mar 17, 2021 Accepting new patients
Manatee Cardiology Associates, LLC Nurse Practitioner CurrentSince Nov 25, 2019 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

316 Manatee Ave W
Bradenton, FL 34205
Phone (941) 748-2277

4647 Manatee Ave W
Bradenton, FL 34209
Phone (941) 745-5999

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

4015 US Highway 301 N
Ellenton, FL 34222
Phone (941) 269-2813

20321 Grande Oak Shoppes Blvd
Ste 308
Estero, FL 33928
Phone (239) 758-0914

5660 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 328-6262

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621

8927 US Highway 301 N
Ste 210
Parrish, FL 34219
Phone (941) 845-4621

23951 Peachland Blvd
Ste 1
Port Charlotte, FL 33954
Phone (941) 260-2326

5221 Clark Rd
Sarasota, FL 34233
Phone (941) 260-2326

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1685

Organizations & group practices 7

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1063870889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058805",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-100230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9491899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.