Individual provider Active NPI

Natalie Ann Ingerski, APRN, FNP-BC

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1609522333
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018056 Issued in FL
Practice address
140 Pinnacles Dr
Palm Coast, FL 32164-2322
Phone
(386) 313-6035
Fax
(386) 313-6078
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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 11018056 FL Primary

Addresses

Primary practice location

140 Pinnacles Dr
Palm Coast, FL 32164-2322

Mailing address

8 Wasson PL
Palm Coast, FL 32164-7650
Phone (386) 569-7830

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
I20220331001800 FL Practitioner - Nurse Practitioner 2668868639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Primary Care and Sports Medicine, Inc.Group PAC ID 3476989641, 2 clinicians

Practice addresses (Care Compare)

140 Pinnacles Dr
Palm Coast, FL 32164-2322
Phone (386) 313-6035

Hospital & facility affiliations

  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018056FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Primary Care and Sports Medicine, Inc. CurrentSince Mar 22, 2022 Accepting new patients
Mediquick Urgent Care Centers Inc CurrentSince Mar 22, 2022 Accepting new patients

Locations

140 Pinnacles Dr
Palm Coast, FL 32164
Phone (386) 447-6615

6 Office Park Dr
Palm Coast, FL 32137
Phone (386) 445-7238

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1609522333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WASSON PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647650",
            "telephone_number": "386-569-7830",
            "fax_number": "386-313-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PINNACLES DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642322",
            "telephone_number": "386-313-6035",
            "fax_number": "386-313-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGERSKI",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.