Individual provider Active NPI

Joseph W Nystrom, MD

  • Family Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1629006127
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69859 Issued in FL
Practice address
7213 Green Slope Dr
Zephyrhills, FL 33541-1306
Phone
(813) 355-4914
Fax
(855) 547-5415
NPI assigned
Jun 30, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME69859 FL Primary

Addresses

Primary practice location

7213 Green Slope Dr
Zephyrhills, FL 33541-1306

Mailing address

7213 Green Slope Dr
Zephyrhills, FL 33541-1306
Phone (813) 355-4914

Other identifiers 3

IdentifierTypeStateIssuer
080150384OtherRAILROAD MEDICARE
379238200MedicaidFL
28412OtherFLBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000090 FL Practitioner - Family Practice 5890861942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Zephyrhills Family Practice and Geriatric Care LLCGroup PAC ID 4981953775, 6 clinicians

Practice addresses (Care Compare)

7213 Green Slope Dr
Zephyrhills, FL 33541-1306
Phone (813) 715-0165

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions18
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69859FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Heart Institute Inc CurrentSince Mar 5, 2018 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Locations

6833 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 780-6687

Organizations & group practices 4

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 9

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1629006127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7213 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411306",
            "telephone_number": "813-355-4914",
            "fax_number": "855-547-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 GREEN SLOPE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411306",
            "telephone_number": "813-355-4914",
            "fax_number": "855-547-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080150384",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379238200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.