Active NPI
Rachel M Gregoroff, C.R.N.P
- Family Nurse Practitioner
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11011583
- Practice address
- 579 S Indiana Ave Ste a
Englewood, FL 34223-3751 - Phone
- (941) 460-1341
- Fax
- (941) 460-1345
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP016519 | PA | |
| Family Nurse Practitioner | 363LF0000X | APRN11011583 | FL | Primary |
Addresses
Primary practice location
579 S Indiana Ave Ste a
Englewood, FL 34223-3751
Mailing address
700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000
Other practice location 1
300 State St
Suite 201
Erie, PA 16507
Phone (814) 456-4241
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011583 | FL | MD | Family Nurse Practitioner |
| SP016519 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Family | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| Gastro Health LLC | Current | Accepting new patients | |
| Gastro Health, LLC | Current | Accepting new patients |
Locations
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341
7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1194274712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W STE 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214737",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 S INDIANA AVE STE A",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233751",
"telephone_number": "941-460-1341",
"fax_number": "941-460-1345"
}
],
"practiceLocations": [
{
"address_1": "300 State St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "16507",
"country_code": "US",
"telephone_number": "814-456-4241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGOROFF",
"first_name": "RACHEL",
"middle_name": "M",
"credential": "C.R.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP016519",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11011583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.