NPIMap

Individual provider Active NPI

Robert C Allen-Gasco, FNP

  • Family Nurse Practitioner
  • Estero, FL
National Provider Identifier
1740554732
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 17717 Issued in SC
Practice address
11241 Miromar Square Blvd
Estero, FL 33928-6229
Phone
(239) 992-6168
NPI assigned
Mar 8, 2012
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11005398 FL
Family Nurse Practitioner 363LF0000X APN 17717 SC Primary

Addresses

Primary practice location

11241 Miromar Square Blvd
Estero, FL 33928-6229

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

727 SE Main St Ste 300
Simpsonville, SC 29681-3249
Phone (864) 522-1170

Other identifiers 1

IdentifierTypeStateIssuer
NP2054MedicaidSC

Other names 1

  • Robert C Allen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rallen20867@direct.ghs.myhfn.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120605000470 SC Practitioner - Nurse Practitioner 2668636564 Reassigns benefits to 2 organizations
I20190705000974 HI Practitioner - Nurse Practitioner 2668636564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

727 SE Main St
Suite 300
Simpsonville, SC 29681-3249
Phone (864) 522-1170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005398FLMDFamily Nurse Practitioner
APN 17717SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince May 7, 2019 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Jul 2, 2019 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Jul 2, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 7, 2019 Accepting new patients
Hartsville Medical Group LLC Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1190 Waianuenue Ave
Fl 1
Hilo, HI 96720

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

110 Medical Cir
West Columbia, SC 29169
Phone (803) 509-7316

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rallen20867@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1740554732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 MIROMAR SQUARE BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286229",
            "telephone_number": "239-992-6168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 SE Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296813249",
            "country_code": "US",
            "telephone_number": "864-522-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN-GASCO",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005398",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 17717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2054",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rallen20867@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rallen20867@direct.ghs.myhfn.org",
            "address_1": "727 SE Main St Ste 300",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296813249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ALLEN",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.