Active NPI
Mikel James Mineo, APRN
- Gerontology Nurse Practitioner
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11024985
- Practice address
- 9320 State Road 54
Trinity, FL 34655-1808 - Phone
- (727) 842-8411
- Fax
- (877) 917-2336
- NPI assigned
- Mar 1, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11024985 | FL | Primary |
| Nurse Practitioner | 363L00000X | APRN11024985 | FL |
Addresses
Primary practice location
9320 State Road 54
Trinity, FL 34655-1808
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
100 Highland Ave N
Largo, FL 33770-2542
Phone (727) 683-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117575000 | Medicaid | FL |
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 344-6569
Merit-based Incentive Payment System (MIPS)
- Final score
- 88 of 100
- Quality
- 74.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hematology Oncology LLC | Current | Accepting new patients | |
| Comprehensive Hematology Oncology LLC | Current | Accepting new patients |
Locations
3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700
5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570
3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Saint Petersburg, FL
- NPI 1144786906
-
- Community/Retail Pharmacy
- St Petersburg, FL
- NPI 1528610367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1235838012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 STATE ROAD 54",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551808",
"telephone_number": "727-842-8411",
"fax_number": "877-917-2336"
}
],
"practiceLocations": [
{
"address_1": "100 Highland Ave N",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337702542",
"country_code": "US",
"telephone_number": "727-683-2900",
"fax_number": "727-683-2901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINEO",
"first_name": "MIKEL",
"middle_name": "JAMES",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11024985",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11024985",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117575000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.