Individual provider Active NPI

Christopher Spencer Servoss, ARNP

  • Adult Health Nurse Practitioner
  • Safety Harbor, FL
National Provider Identifier
1336578277
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9268461 Issued in FL
Practice address
1701 Tall Pine Cir
Safety Harbor, FL 34695-5204
Phone
(727) 725-4940
Fax
(727) 725-5678
NPI assigned
Nov 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 ARNP9268461 FL Primary

Addresses

Primary practice location

1701 Tall Pine Cir
Safety Harbor, FL 34695-5204

Mailing address

1701 Tall Pine Cir
Safety Harbor, FL 34695-5204
Phone (727) 725-4940

Other identifiers 1

IdentifierTypeStateIssuer
010355300MedicaidFL

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
I20131210000823 FL Practitioner - Nurse Practitioner 6800023292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Assessments LLCGroup PAC ID 1153474390, 3 clinicians
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

1701 Tall Pine Cir
Safety Harbor, FL 34695-5204
Phone (727) 725-4940

3865 Tampa Rd
Oldsmar, FL 34677-3008
Phone (732) 719-5039

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9268461FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Assessments LLC Adult Health CurrentSince Nov 1, 2013 Accepting new patients
Mana Health Partners PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

3865 Tampa Rd
Oldsmar, FL 34677
Phone (516) 680-8080

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1336578277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 TALL PINE CIR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955204",
            "telephone_number": "727-725-4940",
            "fax_number": "727-725-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TALL PINE CIR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955204",
            "telephone_number": "727-725-4940",
            "fax_number": "727-725-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVOSS",
        "first_name": "CHRISTOPHER",
        "middle_name": "SPENCER",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9268461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010355300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.