Individual provider Active NPI

Antoinette Yvette Frussinetty, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1740596451
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336221-1 Issued in NY
Practice address
7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840
Phone
(352) 436-4328
NPI assigned
Aug 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 F336221-1 NY Primary

Addresses

Primary practice location

7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840

Mailing address

7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840
Phone (352) 436-4328

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
I20161019000089 FL Practitioner - Nurse Practitioner 5597929562 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nature Coast Primary Care Lab LLC 8 clinicians

Practice addresses (Care Compare)

7562 W Gulf to Lake Hwy
Crystal River, FL 34429-7840
Phone (352) 436-4328

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336221-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Health Care Radiology, LLC CurrentSince May 16, 2022 Accepting new patients
Nature Coast High Risk Medical Management LLC CurrentSince May 16, 2022 Accepting new patients
Nature Coast Primary Care Lab LLC CurrentSince May 16, 2022 Accepting new patients
Nature Coast Primary Care, LLC CurrentSince May 16, 2022 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Mar Primary Care LLC PastSince Sep 5, 2021 Accepting new patients

Locations

7562 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 436-4328

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1740596451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7562 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297840",
            "telephone_number": "352-436-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297840",
            "telephone_number": "352-436-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUSSINETTY",
        "first_name": "ANTOINETTE",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336221-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.