Individual provider Active NPI

Gregory A Kazmierski, ARNP

  • Adult Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1295715183
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3110882 Issued in FL
Practice address
4645 NW 8TH Ave
Gainesville, FL 32605-4524
Phone
(352) 264-2500
Fax
(352) 331-9095
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3110882 FL
Adult Health Nurse Practitioner 363LA2200X ARNP3110882 FL Primary
Critical Care Medicine Nurse Practitioner 363LC0200X ARNP3110882 FL

Addresses

Primary practice location

4645 NW 8TH Ave
Gainesville, FL 32605-4524

Mailing address

4645 NW 8TH Ave
Gainesville, FL 32605-4524
Phone (352) 264-2500

Other identifiers 1

IdentifierTypeStateIssuer
CM8550OtherFLMEDICARE RR

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
I20040506001317 FL Practitioner - Nurse Practitioner 3072502053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Cardiologists of Gainesville, PAGroup PAC ID 8820077241, 36 clinicians

Practice addresses (Care Compare)

4645 NW 8TH Ave
Suite 20
Gainesville, FL 32605-4688
Phone (352) 375-1212

Hospital & facility affiliations

  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Cardiologists of Gainesville, PA CurrentSince Jan 8, 2011 Accepting new patients
Simedhealth LLC Past Accepting new patients

Locations

4645 NW 8th Ave
Gainesville, FL 32605
Phone (352) 264-2500

4645 NW 8th Ave
Ste 20
Gainesville, FL 32605
Phone (352) 375-1212

1151 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-8570

3239 NW York Dr
Lake City, FL 32055
Phone (352) 375-1212

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.

Hospital & facility affiliations 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1295715183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054524",
            "telephone_number": "352-264-2500",
            "fax_number": "352-331-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054524",
            "telephone_number": "352-264-2500",
            "fax_number": "352-331-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERSKI",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3110882",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3110882",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "ARNP3110882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CM8550",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.