Individual provider Active NPI

Gretchen Blaine Abbott, APRN

  • Gerontology Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1093533838
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11036101 Issued in FL
Practice address
40215 Highway 27
Davenport, FL 33837-7813
Phone
(863) 421-9705
Fax
(863) 421-9779
NPI assigned
Oct 1, 2024
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9432684 FL
Gerontology Nurse Practitioner 363LG0600X APRN11036101 FL Primary

Addresses

Primary practice location

40215 Highway 27
Davenport, FL 33837-7813

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1396 Whisper Cir
Sebring, FL 33870-1204
Phone (863) 385-1244

Other practice location 2

2 State Road 60 W
Lake Wales, FL 33853-4118
Phone (863) 679-9000

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
I20241127002116 FL Practitioner - Nurse Practitioner 3870028830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40215 Hwy 27
Davenport, FL 33837-7813
Phone (863) 421-9705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9432684FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Oct 6, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Oct 31, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Oct 31, 2024 Accepting new patients

Locations

40215 Highway 27
Davenport, FL 33837
Phone (863) 421-9705

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

1396 Whisper Cir
Sebring, FL 33870
Phone (863) 385-1244

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1093533838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40215 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377813",
            "telephone_number": "863-421-9705",
            "fax_number": "863-421-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396 Whisper Cir",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701204",
            "country_code": "US",
            "telephone_number": "863-385-1244",
            "fax_number": "863-385-6086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 State Road 60 W",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534118",
            "country_code": "US",
            "telephone_number": "863-679-9000",
            "fax_number": "863-679-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "GRETCHEN",
        "middle_name": "BLAINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9432684",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11036101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.