Individual provider Active NPI

Frank David Fidler, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1508968488
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9168596 Issued in FL
Practice address
3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone
(813) 289-6597
Fax
(813) 289-6592
NPI assigned
Sep 2, 2006
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 APRN9168596 FL Primary
Internal Medicine Physician 207R00000X RN9168596 FL

Addresses

Primary practice location

3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906

Mailing address

3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone (813) 289-6597

Other identifiers 1

IdentifierTypeStateIssuer
F0404110OtherFLAMERICAN ACADEMY OF NURSE PRACTITIONERS

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
I20041231000041 FL Practitioner - Nurse Practitioner 6507824968 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Ca Pacs 2 Medical Group IncGroup PAC ID 4981954476, 27 clinicians

Practice addresses (Care Compare)

1514 E Chelsea St
Tampa, FL 33610-6114
Phone (813) 238-6406

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 400-2291

38250 A Ave
Zephyrhills, FL 33542-5759
Phone (813) 782-5508

3855 Upper Creek Dr
Sun City Center, FL 33573-6814
Phone (813) 635-9001

4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Phone (904) 245-7620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9168596FLMDInternal Medicine Physician
APRN9168596FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 23, 2024 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc. Internal Medicine Past Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (904) 272-6194

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

1514 E Chelsea St
Tampa, FL 33610
Phone (813) 238-6406

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 6

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 8

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1508968488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
            "address_2": "SUITE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
            "address_2": "SUITE 670",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "FRANK",
        "middle_name": "DAVID",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9168596",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "RN9168596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0404110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.