Individual provider Active NPI

Mark C Nuguid, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1447785290
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9328834 Issued in FL
Practice address
4729 N Habana Ave
Tampa, FL 33614-7113
Phone
(813) 251-8444
Fax
(813) 254-6414
NPI assigned
Apr 28, 2017
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9328834 FL Primary
Registered Nurse 163W00000X RN9328834 FL

Addresses

Primary practice location

4729 N Habana Ave
Tampa, FL 33614-7113

Mailing address

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

Other practice location 1

10740 Palm River Rd Ste 490
Tampa, FL 33619-4574
Phone (813) 251-8444

Other practice location 2

5504 Gateway Blvd Ste 102
Wesley Chapel, FL 33544-1900
Phone (813) 251-8444

Other identifiers 1

IdentifierTypeStateIssuer
021165700MedicaidFL

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
I20170717002970 FL Practitioner - Nurse Practitioner 7012287576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Margarita R Cancio MD PAGroup PAC ID 0345338554, 20 clinicians

Practice addresses (Care Compare)

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9328834FLMDRegistered Nurse
APRN9328834FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita R Cancio MD PA CurrentSince Mar 16, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

10740 Palm River Rd
Ste 490
Tampa, FL 33619
Phone (813) 251-8444

4729 N Habana Ave
Tampa, FL 33614
Phone (813) 251-8444

5504 Gateway Blvd
Ste 102
Wesley Chapel, FL 33544
Phone (813) 251-8444

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: clinical@idatb.directbygreenway.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mnuguid135778@direct.tgh.org

Organizations & group practices 2

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.

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1447785290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Palm River Rd Ste 490",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194574",
            "country_code": "US",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5504 Gateway Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335441900",
            "country_code": "US",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUGUID",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9328834",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9328834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021165700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.