Eric Gancedo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9383141 Issued in FL

Practice address

4125 S Tamiami TRL Ste 2
Venice, FL 34293-5121

Phone

(941) 584-9201

Fax

(941) 584-9202

NPI assigned

Nov 3, 2015

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.gancedo.2@29601.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment Care Compare group NPD
• South Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Sarasota, FL
  • NPI 1649704651
  Medicare reassignment NPD
• Nokomis Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Nokomis, FL
  • NPI 1780964973
  Care Compare group
• Value Healthcare Partners

  • Preferred Provider Organization
  • Miami, FL
  • NPI 1316763394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1588037253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 S TAMIAMI TRL STE 2",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935121",
            "telephone_number": "941-584-9201",
            "fax_number": "941-584-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 S TAMIAMI TRL STE 2",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935121",
            "telephone_number": "941-584-9201",
            "fax_number": "941-584-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCEDO",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9383141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.gancedo.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "eric.gancedo.2@29601.direct.athenahealth.com",
            "address_1": "4125 S Tamiami Trl Ste 2",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342935121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.gancedo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "eric.gancedo.1@29601.direct.athenahealth.com",
            "address_1": "4125 S Tamiami Trl Ste 2",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342935121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Galica, D.P.T.
• Michael R Gallina, DPM
• Gallo Prosthetic & Orthotic Solutions, LLC
• Cynthia Beth Gamble, ARNP
• Susan Gammon, P.T.
• Julie L Garver, CNP
• Shane M. Garver, LPTA
• Gastroenterology Associates of Venice & Englewood P a
• Cynthia Gates, LMHC
• Samantha Gatewood

• Family Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.

Verify at the official NPI Registry.