Active NPI
Emily A Radtke, NP
- Gerontology Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11017360
- Practice address
- 111 N Orange Ave Ste 800
Orlando, FL 32801-2381 - Phone
- (888) 731-8994
- NPI assigned
- Feb 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4704322326 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11017360 | FL | Primary |
Addresses
Primary practice location
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Mailing address
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Other practice location 1
699 S Indiana Ave
Englewood, FL 34223-3705
Phone (941) 477-4007
Other practice location 2
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Phone (888) 731-8994
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
Enrollment records 1
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
Practice addresses (Care Compare)
315 Nokomis Ave S
Venice, FL 34285-2417
Phone (941) 477-4007
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bliss Dermatology, LLC | Current | Accepting new patients | |
| Rejuva Dermatology & Vein Center, PLLC | Current | Accepting new patients | |
| Johnson Medical Center of Venice, Inc. | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Interact of Michigan, Inc | Past | Accepting new patients | |
| Personal Wellness Medicine, LLC | Past | Accepting new patients |
Locations
699 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-8811
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
421 Commercial Ct
Ste A
Venice, FL 34292
Phone (941) 484-3557
315 Nokomis Ave S
Venice, FL 34285
Phone (941) 477-4007
1287 US Highway 41 Byp S
Venice, FL 34285
Phone (941) 202-0500
395 Commercial Ct
Ste C
Venice, FL 34292
Phone (941) 529-0070
2389 E Venice Ave
Venice, FL 34292
401 Johnson Ln
Ste 101
Venice, FL 34285
Phone (813) 484-5333
Organizations & group practices 7
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.
-
dba Bliss Dermatology
- MOHS-Micrographic Surgery Physician
- Venice, FL
- NPI 1689361644
-
- Family Medicine Physician
- Venice, FL
- NPI 1578622981
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
dba Dermatology Associates
- Dermatology Physician
- Venice, FL
- NPI 1316522691
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Prevention Professional
- Sarasota, FL
- NPI 1093306292
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kalamazoo, MI
- NPI 1760419691
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital
- 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": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762646400000",
"number": "1467951160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N ORANGE AVE STE 800",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N ORANGE AVE STE 800",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012381",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "699 S Indiana Ave",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "FL",
"postal_code": "342233705",
"country_code": "US",
"telephone_number": "941-477-4007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Renaissance Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431599",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADTKE",
"first_name": "EMILY",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2025-11-09",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704322326",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11017360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.