Individual provider Active NPI

Patricia Ann Pagnotta, ARNP

  • Adult Health Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1316048200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2879012 Issued in FL
Practice address
301 N Maitland Ave
Maitland, FL 32751-4723
Phone
(407) 647-5996
Fax
(321) 397-0258
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2879012 FL Primary

Addresses

Primary practice location

301 N Maitland Ave
Maitland, FL 32751-4723

Mailing address

13728 Dornoch Dr
Orlando, FL 32828-8814
Phone (407) 249-5193

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
I20070907000622 FL Practitioner - Nurse Practitioner 1759474695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates PAGroup PAC ID 9032002126, 5 clinicians

Practice addresses (Care Compare)

301 N Maitland Ave
Maitland, FL 32751-4723
Phone (407) 647-5996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2879012FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates, PA CurrentSince Dec 18, 2012 Accepting new patients

Locations

301 N Maitland Ave
Maitland, FL 32751
Phone (407) 647-5996

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316048200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13728 DORNOCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288814",
            "telephone_number": "407-249-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514723",
            "telephone_number": "407-647-5996",
            "fax_number": "321-397-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNOTTA",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2879012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.