Individual provider Active NPI

Nancy S Ling, M.D.

  • Dermatology Physician
  • Brandon, FL
National Provider Identifier
1174586481
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0046345 Issued in FL
Practice address
305 Bryan Rd
Suite 5 & 6
Brandon, FL 33511-5340
Phone
(813) 689-2054
Fax
(813) 654-5640
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME46345 FL
Dermatology Physician 207N00000X ME0046345 FL Primary

Addresses

Primary practice location

305 Bryan Rd
Suite 5 & 6
Brandon, FL 33511-5340

Mailing address

305 Bryan Rd
Suite 5 & 6
Brandon, FL 33511-5340
Phone (813) 689-2054

Other identifiers 3

IdentifierTypeStateIssuer
P00922384OtherFLRAILROAD MEDICARE
1174586481OtherNPI
30776OtherFLBCBSFL (AND PREVIOUS MEDICARE PTAN)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126001126 FL Practitioner - Dermatology 5597944256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 Bryan Rd
Brandon, FL 33511-5340
Phone (813) 689-2054

305 Bryan Rd
Suite 5 and 6
Brandon, FL 33511-5303

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision110
Removal of tissue1-10
Removal of skin lesions2022
Removal of skin cancer124
Removal or shaving of skin growth20
Skin biopsy763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0046345FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Simons Ling MD PA Dermatology CurrentSince Oct 16, 2006 Accepting new patients

Locations

305 Bryan Rd
Ste 5
Brandon, FL 33511
Phone (813) 689-2054

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174586481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BRYAN RD",
            "address_2": "SUITE 5 & 6",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115340",
            "telephone_number": "813-689-2054",
            "fax_number": "813-654-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BRYAN RD",
            "address_2": "SUITE 5 & 6",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115340",
            "telephone_number": "813-689-2054",
            "fax_number": "813-654-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "NANCY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME46345",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0046345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00922384",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174586481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL (AND PREVIOUS MEDICARE PTAN)",
            "identifier": "30776",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.