Dominica Ngozi Orisakwe

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3209032 Issued in FL

Practice address

3390 Tamiami TRL Ste 204
Port Charlotte, FL 33952-8162

Phone

(941) 391-5495

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Medical Group LLCGroup PAC ID 5092078881, 9 clinicians

Synergy Hospital Services LLCGroup PAC ID 1254874753, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harbor Medical Group LLC

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1689184335
  Medicare reassignment Care Compare group NPD
• Synergy Hospital Services LLC

  • Hospitalist Physician
  • Punta Gorda, FL
  • NPI 1508610460
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597

  Nurse Practitioner

  Medicare reassignment NPD
• Inpatient Consultants of Florida Inc

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1457511164
  NPD
• Continuitycare Rehab Corp

  • Hospitalist Physician
  • Port Charlotte, FL
  • NPI 1841164787
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Port Charlotte Inc

  dba Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  dba HCA Florida Fawcett Hospital

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406
  Care Compare affiliation
• Infinity Home Care of Port Charlotte, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Port Charlotte, FL
  • NPI 1043392038
  Care Compare affiliation

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1679067425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 TERRY AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481373",
            "telephone_number": "941-766-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 TAMIAMI TRL STE 204",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528162",
            "telephone_number": "941-391-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORISAKWE",
        "first_name": "DOMINICA",
        "middle_name": "NGOZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "3209032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Olson
• Donna Olson, ARNP
• Lori Olson, IMH
• Maria Elizabeth Olvera, FNP
• Denise E Orazi, DC
• Orthotic & Prosthetic Centers, Inc. (Orthotic & Prosthetic Center of Port Charlotte)
• Karla Ortiz Silot
• Franky Ortiz
• Bradley W Orville, PA-C
• Matthew Osborne, PA-C

• Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.