Individual provider Active NPI

Nadia Hogan

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1104612704
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038872 Issued in FL
Practice address
2101 61St St W
Bradenton, FL 34209-5528
Phone
(941) 667-9070
Fax
(941) 296-8501
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 APRN11038872 FL Primary

Addresses

Primary practice location

2101 61St St W
Bradenton, FL 34209-5528

Mailing address

4411 Bee Ridge Rd # 309
Sarasota, FL 34233-2514
Phone (941) 926-6553

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
I20250508002097 FL Practitioner - Nurse Practitioner 4587181946 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
Luminary Dermatology PAGroup PAC ID 8628301835, 9 clinicians

Practice addresses (Care Compare)

2101 61St St W
Bradenton, FL 34209-5528
Phone (941) 926-6553

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11038872FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Luminary Dermatology, PA CurrentSince May 1, 2025 Accepting new patients

Locations

819 N Mills Ave
#D
Arcadia, FL 34266
Phone (863) 491-2390

2101 61st St W
Bradenton, FL 34209
Phone (941) 761-4448

544 Bay Isles Rd
Longboat Key, FL 34228
Phone (941) 225-2258

3105 Bobcat Village Center Rd
North Port, FL 34288
Phone (941) 271-0021

2032 Hawthorne St
Sarasota, FL 34239
Phone (941) 957-3516

4411 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 342-3201

1901 Haverford Ave
Sun City Ctr, FL 33573
Phone (813) 422-5533

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1104612704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BEE RIDGE RD # 309",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332514",
            "telephone_number": "941-926-6553",
            "fax_number": "941-296-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 61ST ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095528",
            "telephone_number": "941-667-9070",
            "fax_number": "941-296-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "NADIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.