Individual provider Active NPI

Myranda Hotchkiss

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1720865835
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028559 Issued in FL
Practice address
8050 Kimberly Ave
Spring Hill, FL 34606-6531
Phone
(352) 403-3075
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028559 FL Primary

Addresses

Primary practice location

8050 Kimberly Ave
Spring Hill, FL 34606-6531

Mailing address

8050 Kimberly Ave
Spring Hill, FL 34606-6531
Phone (352) 403-3075

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
I20231105000016 FL Practitioner - Nurse Practitioner 8628425113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028559FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group, PL Family CurrentSince Nov 1, 2023 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Jan 30, 2024 Accepting new patients
Pcma Palliative Division LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

900 Beckett Way
Tarpon Springs, FL 34689
Phone (727) 934-0876

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1720865835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 KIMBERLY AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346066531",
            "telephone_number": "352-403-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 KIMBERLY AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346066531",
            "telephone_number": "352-403-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTCHKISS",
        "first_name": "MYRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.