Active NPI
Dane Kartsen Hermansen, M.D.
- Urology Physician
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0069059
- Practice address
- 300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956 - Phone
- (386) 673-5100
- Fax
- (386) 673-6014
- NPI assigned
- May 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0069059 | FL | Primary |
Addresses
Primary practice location
300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956
Mailing address
300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956
Phone (386) 673-5100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060508000013 | FL | Practitioner - Urology | 9931098852 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Virginia Commonwealth University, School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Clyde Morris Blvd
Ormond Beach, FL 32174-5909
300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956
Phone (386) 673-5100
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
84 Pinnacles Dr
Suite 500
Palm Coast, FL 32164-2324
Phone (386) 673-5100
843 State Rd
Suite 44
New Smyrna Beach, FL 32168-7271
Phone (386) 957-3825
Hospital & facility affiliations
- Apex Home Healthcare
- Adventhealth Daytona Beach
- Halifax Health Medical Center
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.35 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 91.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0069059 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Urology Center PA | Urology | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Urology | Current | Accepting new patients |
| Atlantic Urological Associates P a | Urology | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
300 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 673-5100
790 Dunlawton Ave
Ste H
Pt Orange, FL 32127
Phone (386) 322-8880
Interoperability endpoints
- dane.hermansen@fluro.directbygreenway.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
FL, Urology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
Hospital
-
- Home Health Agency
- Ormond Beach, FL
- NPI 1780708172
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1679520977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CLYDE MORRIS BLVD",
"address_2": "SUITE C",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745956",
"telephone_number": "386-673-5100",
"fax_number": "386-673-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CLYDE MORRIS BLVD",
"address_2": "SUITE C",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745956",
"telephone_number": "386-673-5100",
"fax_number": "386-673-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANSEN",
"first_name": "DANE",
"middle_name": "KARTSEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0069059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.