Active NPI
Dana Marie Mlynarski, APRN
- Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11003648
- Practice address
- 5880 49TH St N Ste 104
St Petersburg, FL 33709-2142 - Phone
- (727) 528-6100
- Fax
- (727) 528-7895
- NPI assigned
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11003648 | FL | Primary |
Addresses
Primary practice location
5880 49TH St N Ste 104
St Petersburg, FL 33709-2142
Mailing address
5880 49TH St N Ste 104
St Petersburg, FL 33709-2142
Phone (727) 528-6100
Other practice location 1
2191 9th Ave N Ste 105
St Petersburg, FL 33713-7149
Phone (727) 528-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11003648 | Other | FL | FLORIDA APRN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191101001434 | FL | Practitioner - Nurse Practitioner | 9032441589 | Reassigns benefits to 3 organizations |
| I20241030002208 | TX | Practitioner - Nurse Practitioner | 9032441589 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2911 Medical Arts St
Suite 10
Austin, TX 78705-3302
Phone (866) 473-0663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003648 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Medical Care PA | Nurse Practitioner | Current | Accepting new patients |
| Pinellas Medical Associates, PA | Current | Accepting new patients | |
| Post Acute Specialists of Texas PA | Nurse Practitioner | Current | Accepting new patients |
| Post Acute Specialists of Florida PLLC | Nurse Practitioner | Current | Accepting new patients |
| Gateway Radiology Consultants, P.a. | Past | Accepting new patients | |
| Promed Ipa LLC | Past | Accepting new patients |
Locations
4701 Manatee Ave W
Bradenton, FL 34209
Phone (941) 795-3844
2191 9th Ave N
Ste 105
St Petersburg, FL 33713
Phone (727) 209-1419
5880 49th St N
Ste 104
St Petersburg, FL 33709
Phone (727) 251-3828
2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060
508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770
2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBHHAA
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 and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1942859350
Nurse Practitioner, TX
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1154001907
FL, Nurse Practitioner
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1992571608
FL, Nurse Practitioner
-
- Urgent Care Clinic/Center
- Pinellas Park, FL
- NPI 1952747842
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1457218596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1639726698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 49TH ST N STE 104",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092142",
"telephone_number": "727-528-6100",
"fax_number": "727-528-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 49TH ST N STE 104",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092142",
"telephone_number": "727-528-6100",
"fax_number": "727-528-7895"
}
],
"practiceLocations": [
{
"address_1": "2191 9th Ave N Ste 105",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337137149",
"country_code": "US",
"telephone_number": "727-528-6100",
"fax_number": "727-528-7895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MLYNARSKI",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11003648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA APRN",
"identifier": "11003648",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.