Individual provider Active NPI

Semhar Abraham Mekonen, MSN, APRN, CPNP-PC

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1205357654
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9274983 Issued in FL
Practice address
3190 N McMullen Booth Rd Ste 203
Clearwater, FL 33761-2013
Phone
(727) 591-2453
Fax
(727) 823-7043
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9274983 FL Primary

Addresses

Primary practice location

3190 N McMullen Booth Rd Ste 203
Clearwater, FL 33761-2013

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

1801 N Belcher Rd Ste B
Clearwater, FL 33765-1452
Phone (727) 935-0503

Other identifiers 1

IdentifierTypeStateIssuer
021730600MedicaidFL

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
I20170821003436 FL Practitioner - Nurse Practitioner 8527330893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

646 Virginia St
Dunedin, FL 34698-6612
Phone (727) 270-7291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9274983FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, Inc CurrentSince Aug 21, 2017 Accepting new patients

Locations

3165 N McMullen Booth Rd
Bldg B
Clearwater, FL 33761
Phone (727) 210-2225

1801 N Belcher Rd
Ste B
Clearwater, FL 33765
Phone (727) 669-3676

3190 N McMullen Booth Rd
Ste 203
Clearwater, FL 33761
Phone (727) 258-9143

646 Virginia St
#201
Dunedin, FL 34698
Phone (727) 270-7291

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smekonen@directaddress.net
  • Direct secure messaging: smekonen@aadermaffiliates.emadirect.md

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1205357654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "727-591-2453",
            "fax_number": "727-823-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Belcher Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337651452",
            "country_code": "US",
            "telephone_number": "727-935-0503",
            "fax_number": "727-935-0504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKONEN",
        "first_name": "SEMHAR",
        "middle_name": "ABRAHAM",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9274983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021730600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.