Individual provider Active NPI

Gina Egnozzi

  • Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1639922925
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11631364 Issued in FL
Practice address
2875 NE 191St St Ste 500
Aventura, FL 33180-2832
Phone
(443) 383-9300
NPI assigned
Apr 8, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11631364 FL Primary

Addresses

Primary practice location

2875 NE 191St St Ste 500
Aventura, FL 33180-2832

Mailing address

650 Tapestry LN Apt 441
Brandon, FL 33511-8644
Phone (862) 222-3761

Other practice location 1

650 Tapestry Ln Apt 441
Brandon, FL 33511-8644
Phone (862) 222-3761

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
I20240517000754 FL Practitioner - Nurse Practitioner 2062853336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chma of FL, PLLCGroup PAC ID 8123420643, 25 clinicians

Practice addresses (Care Compare)

2777 NE 183Rd St
Aventura, FL 33160-2165
Phone (443) 383-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11631364FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Promed Preferred FL PLLC CurrentSince Apr 6, 2024 Accepting new patients
Chma of FL, PLLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 741-5628

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

17475 S Dixie Hwy
Palmetto Bay, FL 33157
Phone (305) 255-1045

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1639922925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 TAPESTRY LN APT 441",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118644",
            "telephone_number": "862-222-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 NE 191ST ST STE 500",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802832",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Tapestry Ln Apt 441",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335118644",
            "country_code": "US",
            "telephone_number": "862-222-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGNOZZI",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11631364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.