Individual provider Active NPI

Annerys B Utra Rodriguez, APRN

  • Primary Care Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1417522871
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11012296 Issued in FL
Practice address
9834 Patrician Dr
New Port Richey, FL 34655-5730
Phone
(813) 270-1218
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11012296 FL Primary

Addresses

Primary practice location

9834 Patrician Dr
New Port Richey, FL 34655-5730

Mailing address

9834 Patrician Dr
New Port Richey, FL 34655-5730
Phone (813) 270-1218

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
I20210930000249 FL Practitioner - Nurse Practitioner 4688074032 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace of Mind Neuro IncGroup PAC ID 1759767353, 3 clinicians
Peace of Mind Behavioral HealthGroup PAC ID 4789924788, 2 clinicians
Gericare, Inc.Group PAC ID 7416366703, 5 clinicians

Practice addresses (Care Compare)

2201 W Swann Ave
Suite 280
Tampa, FL 33606-2440
Phone (813) 316-6500

Merit-based Incentive Payment System (MIPS)

Final score
95.8 of 100Reported as group
Quality
90
Improvement activities
40
Cost
66.01

Merit-based Incentive Payment System (MIPS)

Final score
90.2 of 100Reported as group
Quality
90
Improvement activities
40
Cost
47.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012296FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Neuro, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

2201 W Swann Ave
Ste 280
Tampa, FL 33606
Phone (813) 316-6500

7853 Gunn Hwy
Tampa, FL 33626
Phone (813) 297-8112

5331 Primrose Lake Cir
Ste 112
Tampa, FL 33647
Phone (813) 316-6500

Organizations & group practices 4

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1417522871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 PATRICIAN DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555730",
            "telephone_number": "813-270-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 PATRICIAN DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555730",
            "telephone_number": "813-270-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTRA RODRIGUEZ",
        "first_name": "ANNERYS",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11012296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.