Helen Potestas Coronica, ARNP
Individual provider Active NPI Family Nurse Practitioner · Ruskin, FL
NPI 1235547258 · NPPES record last updated Apr 8, 2016
Key facts
- NPI
- 1235547258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9342217 (FL)
- Practice address
- 2814 14TH Ave SE
Ruskin, FL 33570-5471 - Phone
- (813) 349-7800
- Fax
- (813) 938-6421
- NPI assigned
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suncoast Community Health Centers Inc
Practice addresses (Care Compare)
14254 Martin Luther King Blvd
Dover, FL 33527-4414
Phone (813) 653-6100
14254 Sr
Suite 574
Dover, FL 33527-4414
Phone (813) 653-6100
820 15TH St SE
Ruskin, FL 33570-4937
Phone (813) 653-6100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160711000657 | FL | Practitioner - Nurse Practitioner | 4385936459 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9342217 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Community Health Centers Inc | Current |
Accepting new patients | |
| Suncoast Community Health Centers, Inc | Current |
Accepting new patients | |
| Suncoast Community Health Centers Inc | Past | Accepting new patients | |
| Suncoast Community Health Centers Inc | Past | Accepting new patients |
Locations
801 E Baker St
Plant City, FL 33563
Phone (813) 349-7649
13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567
2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800
820 15th St SE
Ruskin, FL 33570
Phone (813) 349-7593
16621 Lagoon Shore Blvd
Wimauma, FL 33598
Phone (813) 307-3321
Interoperability endpoints
- helen.coronica@suncoastchc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9342217 | FL | Yes |
Addresses
Primary practice location
2814 14TH Ave SE
Ruskin, FL 33570-5471
Mailing address
13110 Elk Mountain Dr
Riverview, FL 33579-7182
Phone (813) 653-6208
Other providers in Ruskin, FL
- Mary F Cobb
- Patricia M Commons
- Compassion Healthcare Agency LLC
- Convenient Walk in Medical Clinic Inc
- Jessica Leigh Cooper
- Ashley Melissa Corral
- Nichole White Coyne
- Selena Crandall
- Kimberly Ann Crawford
- Vanity Crumby
All providers in Ruskin, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.