Active NPI
Mandy Poginy, APRN
- Nurse Practitioner
- Palmetto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11024634
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
5717 21St Ave W
Bradenton, FL 34209-5605
Phone (417) 792-8383
Hospital & facility affiliations
- Sarasota Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11024634 | FL | MD | Nurse Practitioner |
| 101.0109990 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Family | Current | Accepting new patients |
| Coastal Community Health Services, Inc. | Current | Accepting new patients | |
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Coastal Community Health Services Inc | Current | 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
- mandy.poginy.1@8042.direct.athenahealth.com
- 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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1609298751
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1063282937
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.