Active NPI
Natalia Van Reenen, PA-C
- Physician Assistant
- Sanford, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1401 W Seminole Blvd
Sanford, FL 32771-6743 - Phone
- (407) 321-4500
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1401 W Seminole Blvd
Sanford, FL 32771-6743
Mailing address
1401 W Seminole Blvd
Sanford, FL 32771-6743
Other practice location 1
4517 Selma St
Sarasota, FL 34232-4152
Phone (941) 705-0557
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 59TH St W
Bradenton, FL 34209-4616
2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611
Hospital & facility affiliations
- HCA Florida Blake Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.62 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Cardiology Network, LLC | Multi-Specialty | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
- natalia.vanreenen@hca4.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Trauma Surgery Physician
- Bradenton, FL
- NPI 1902198948
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
-
- Cardiovascular Disease Physician
- Saint Petersburg, FL
- NPI 1801198023
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1356800825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W SEMINOLE BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W SEMINOLE BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716743",
"telephone_number": "407-321-4500"
}
],
"practiceLocations": [
{
"address_1": "4517 Selma St",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342324152",
"country_code": "US",
"telephone_number": "941-705-0557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN REENEN",
"first_name": "NATALIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.