Individual provider Active NPI

Blondine Charline Frometa, ARNP-FNP-C

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1770179996
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009797 Issued in FL
Practice address
210 Champions Vue Loop Unit 201
Davenport, FL 33897-4865
Phone
(954) 203-9254
NPI assigned
Dec 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11009797 FL Primary

Addresses

Primary practice location

210 Champions Vue Loop Unit 201
Davenport, FL 33897-4865

Mailing address

210 Champions Vue Loop Unit 201
Davenport, FL 33897-4865
Phone (954) 203-9254

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
I20210517000493 FL Practitioner - Nurse Practitioner 4981013281 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

Practice addresses (Care Compare)

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009797FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Care Specialists LLC Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Hospital Medicine Services of FL, LLC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

2511 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 405-4985

221 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 900-4885

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

320 Mitchell St
Kissimmee, FL 34741
Phone (407) 847-7200

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

Organizations & group practices 5

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 4

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1770179996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHAMPIONS VUE LOOP UNIT 201",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338974865",
            "telephone_number": "954-203-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHAMPIONS VUE LOOP UNIT 201",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338974865",
            "telephone_number": "954-203-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMETA",
        "first_name": "BLONDINE",
        "middle_name": "CHARLINE",
        "credential": "ARNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.