Individual provider Active NPI

Mandy Poginy, APRN

  • Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1457744344
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11024634 Issued in FL
Practice address
5600 Bayshore Rd
Palmetto, FL 34221-9352
Phone
(941) 721-2020
Fax
(941) 721-2027
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11024634 FL Primary
Family Nurse Practitioner 363LF0000X 101.0109990 VT
Family Nurse Practitioner 363LF0000X APRN11024634 FL

Addresses

Primary practice location

5600 Bayshore Rd
Palmetto, FL 34221-9352

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220209001313 GA Practitioner - Nurse Practitioner 0648599894 Reassigns benefits to 1 organization
I20230322000169 FL Practitioner - Nurse Practitioner 0648599894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

5717 21St Ave W
Bradenton, FL 34209-5605
Phone (417) 792-8383

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024634FLMDNurse Practitioner
101.0109990VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Mar 8, 2023 Accepting new patients
Coastal Community Health Services, Inc. CurrentSince Jan 24, 2022 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Sep 17, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Mar 8, 2023 Accepting new patients
Coastal Community Health Services Inc CurrentSince Jan 24, 2022 Accepting new patients

Locations

5717 21st Ave W
Bradenton, FL 34209
Phone (941) 792-8383

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

100 Professional Center Dr
Brunswick, GA 31525

Interoperability endpoints

  • Direct secure messaging: mandy.poginy.1@8042.direct.athenahealth.com
  • Direct secure messaging: mandy.poginy@cchs.gadirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1457744344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "802-334-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BAYSHORE RD",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342219352",
            "telephone_number": "941-721-2020",
            "fax_number": "941-721-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGINY",
        "first_name": "MANDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11024634",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0109990",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

Verify at the official NPI Registry.