Individual provider Active NPI

Naomi Mostkoff

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1366078016
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005256 Issued in FL
Practice address
5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468
Phone
(352) 580-6573
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005256 FL Primary

Addresses

Primary practice location

5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468

Mailing address

5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468
Phone (352) 580-6573

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
I20200325000843 FL Practitioner - Nurse Practitioner 7618305640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Health LLCGroup PAC ID 1254858467, 2 clinicians

Practice addresses (Care Compare)

5310 NW 8TH Ave
Suite 1
Gainesville, FL 32605-4468
Phone (786) 514-9793

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11005256FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Apr 1, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Apr 1, 2020 Accepting new patients
Bloom Health LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

2000 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0287

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

5310 NW 8th Ave
Ste 1
Gainesville, FL 32605
Phone (352) 580-6573

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1366078016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 NW 8TH AVE STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054468",
            "telephone_number": "352-580-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 NW 8TH AVE STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054468",
            "telephone_number": "352-580-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTKOFF",
        "first_name": "NAOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.