Benjamin Robert Sprosty, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11013802 Issued in FL

Practice address

3611 NE 19TH Ave
Cape Coral, FL 33909-3134

Phone

(239) 747-8461

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Coral Emergency Physicians LLCGroup PAC ID 1557465325, 11 clinicians

Coastal Physicians IncGroup PAC ID 3476885575, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cape Coral Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cape Coral, FL
  • NPI 1376611962
  Medicare reassignment Care Compare group NPD
• Coastal Physicians Inc

  dba Coastal Urgent Care Centers

  • Urgent Care Clinic/Center
  • Cape Coral, FL
  • NPI 1720648355
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1356910350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 NE 19TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 NE 19TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093134",
            "telephone_number": "239-747-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROSTY",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11013802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3611 NE 19th Ave",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339093134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philip Austin Spencer, HCP
• Spine Center of FL LLC
• Split Mountain Emergency Physicians LLC
• Sports Specialty & Rehabilitation Center Inc
• Julie Spring, CRNA
• Reeba Srivastava, PHARMD.
• SS Lee I Community HC LLC (Rehab & Healthcare Center of Cape Coral)
• St Judes Pharmacy Inc
• Misti St Pierre, COTA/L 14505
• Denise A Staerker, CNM

• Nurse Practitioner in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.