Individual provider Active NPI

Andrew Wargo

  • Psychiatric/Mental Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1306609458
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11030908 Issued in FL
Practice address
2454 N McMullen Booth Rd Unit 502
Clearwater, FL 33759-1353
Phone
(727) 285-8770
NPI assigned
Feb 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11030908 FL Primary

Addresses

Primary practice location

2454 N McMullen Booth Rd Unit 502
Clearwater, FL 33759-1353

Mailing address

2454 N McMullen Booth Rd BLDG C
Clearwater, FL 33759-1353
Phone (727) 709-6886

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
I20240301002545 FL Practitioner - Nurse Practitioner 1456796374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michelle R Scargle MD PAGroup PAC ID 9436217841, 6 clinicians

Practice addresses (Care Compare)

2454 N McMullen Booth Rd
Suite 502
Clearwater, FL 33759-1340
Phone (727) 265-8770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle R Scargle MD PA CurrentSince Jan 30, 2024 Accepting new patients

Locations

2454 N McMullen Booth Rd
Bldg C
Clearwater, FL 33759

2454 N McMullen Booth Rd
Ste 502
Clearwater, FL 33759
Phone (727) 265-8770

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1306609458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD BLDG C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-709-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD UNIT 502",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-285-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARGO",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11030908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.