Individual provider Active NPI

Vanessa Adrienne Paul, APRN

  • Family Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1235810094
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027563 Issued in FL
Practice address
1800 4TH St W
Palmetto, FL 34221-4304
Phone
(617) 610-7872
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 APRN11027563 FL Primary

Addresses

Primary practice location

1800 4TH St W
Palmetto, FL 34221-4304

Mailing address

1800 4TH St W
Palmetto, FL 34221-4304
Phone (617) 610-7872

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
I20231110000288 FL Practitioner - Nurse Practitioner 2062869118 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Hospitalist Group PLGroup PAC ID 7810124963, 7 clinicians

Practice addresses (Care Compare)

6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone (217) 369-4168

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027563FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Tampa Bay Physician Specialists, LLC CurrentSince Sep 30, 2024 Accepting new patients
Post-Acute Physicians of Florida, PLLC CurrentSince Feb 10, 2025 Accepting new patients
Island Hospitalist Group, PL CurrentSince Nov 1, 2024 Accepting new patients
Total Gastroenterology PA CurrentSince Oct 1, 2023 Accepting new patients

Locations

8610 State Road 70 E
Bradenton, FL 34202
Phone (941) 242-1929

7060 SW 8th St
Miami, FL 33144
Phone (305) 261-1363

830 29th St
Orlando, FL 32805
Phone (407) 843-3230

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

6400 Edgelake Dr
Sarasota, FL 34240
Phone (941) 921-8600

4240 Sun N Lake Blvd
Ste 100
Sebring, FL 33872
Phone (863) 382-2622

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

540 The Rialto
Ste 406
Venice, FL 34285

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

301 Northpoint Pkwy
West Palm Beach, FL 33407
Phone (561) 640-2964

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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.

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1235810094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 4TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214304",
            "telephone_number": "617-610-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 4TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214304",
            "telephone_number": "617-610-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "VANESSA",
        "middle_name": "ADRIENNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

Verify at the official NPI Registry.