Individual provider Active NPI

Gina Pergolizzi

  • Family Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1194513473
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039025 Issued in FL
Practice address
8250 Bryan Dairy Rd Ste 305
Seminole, FL 33777-1360
Phone
(727) 391-5008
NPI assigned
Apr 28, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 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 11039025 FL Primary

Addresses

Primary practice location

8250 Bryan Dairy Rd Ste 305
Seminole, FL 33777-1360

Mailing address

8250 Bryan Dairy Rd Ste 305
Seminole, FL 33777-1360
Phone (727) 391-5008

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
I20250828005306 FL Practitioner - Nurse Practitioner 5496256695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invictus Equity Group, LLCGroup PAC ID 5294247912, 4 clinicians

Practice addresses (Care Compare)

14801 Bruce B Downs Blvd
Tampa, FL 33613-2844
Phone (813) 941-4400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Invictus Equity Group, LLC CurrentSince Aug 5, 2025 Accepting new patients
Jayant C Gajera, M.D., P.a. PastSince Aug 5, 2025 Accepting new patients

Locations

8250 Bryan Dairy Rd
Ste 305
Seminole, FL 33777
Phone (727) 391-5008

14801 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 941-4400

Organizations & group practices 2

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": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1194513473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD STE 305",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337771360",
            "telephone_number": "727-391-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD STE 305",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337771360",
            "telephone_number": "727-391-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERGOLIZZI",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.