Individual provider Active NPI

John R. Catania III, APRN

  • Gerontology Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1356092407
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11016861 Issued in FL
Practice address
4235 Kings Highway
Suite 103
Port Charlotte, FL 33980
Phone
(941) 613-1777
NPI assigned
Jan 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11016861 FL Primary

Addresses

Primary practice location

4235 Kings Highway
Suite 103
Port Charlotte, FL 33980

Mailing address

4235 Kings Highway
Suite 103
Port Charlotte, FL 33980-8421
Phone (941) 613-1777

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
I20220120001021 FL Practitioner - Nurse Practitioner 5799177978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Sleep and Critical Care Specialists PLGroup PAC ID 6901032630, 9 clinicians

Practice addresses (Care Compare)

4235 Kings Hwy
Unit 103
Port Charlotte, FL 33980-8421
Phone (941) 613-1777

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score
95.51 of 100Reported as group
Quality
90.96
Promoting interoperability
100
Improvement activities
40
Cost
77.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016861FLMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: john.catania.1@2765.direct.athenahealth.com

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.

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1356092407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 KINGS HIGHWAY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 KINGS HIGHWAY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33980",
            "telephone_number": "941-613-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANIA",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_suffix": "III",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11016861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.