Individual provider Active NPI

Christina Drobneck, APRN

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1497523500
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029605 Issued in FL
Practice address
224 Memorial Medical Pkwy Ste 300
Daytona Beach, FL 32117-5111
Phone
(386) 231-4040
Fax
(386) 615-9119
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11029605 FL Primary

Addresses

Primary practice location

224 Memorial Medical Pkwy Ste 300
Daytona Beach, FL 32117-5111

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8500

Other identifiers 1

IdentifierTypeStateIssuer
120978700MedicaidFL

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
I20240126001172 FL Practitioner - Nurse Practitioner 6709239668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

224 Memorial Medical Pkwy
Suite 300
Daytona Beach, FL 32117-5111
Phone (386) 231-4060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jan 22, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Dec 24, 2023 Accepting new patients

Locations

224 Memorial Medical Pkwy
Ste 300
Daytona Beach, FL 32117
Phone (386) 231-4040

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1497523500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-432-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MEMORIAL MEDICAL PKWY STE 300",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175111",
            "telephone_number": "386-231-4040",
            "fax_number": "386-615-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROBNECK",
        "first_name": "CHRISTINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120978700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.