Individual provider Active NPI

Drema Gail Servoss, APRN

  • Adult Health Nurse Practitioner
  • Safety Harbor, FL
National Provider Identifier
1780677617
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN1918522 Issued in FL
Practice address
1701 Tall Pine Cir
Safety Harbor, FL 34695-5204
Phone
(727) 725-4940
Fax
(727) 725-5678
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN1918522 FL Primary

Addresses

Primary practice location

1701 Tall Pine Cir
Safety Harbor, FL 34695-5204

Mailing address

2519 N McMullen Booth Rd
Suite 510-208
Clearwater, FL 33761-4173
Phone (727) 725-4940

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
I20040729000435 FL Practitioner - Nurse Practitioner 1254301997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Assessments LLCGroup PAC ID 1153474390, 3 clinicians

Practice addresses (Care Compare)

1701 Tall Pine Cir
Safety Harbor, FL 34695-5204
Phone (727) 725-4940

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN1918522FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Assessments LLC Adult Health CurrentSince Mar 25, 2009 Accepting new patients
Access Healthcare LLC Past Accepting new patients
Promed Ipa LLC Past Accepting new patients
Doctors at Home LLC Past Accepting new patients

Organizations & group practices 4

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1780677617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 510-208",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614173",
            "telephone_number": "727-725-4940",
            "fax_number": "727-725-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 TALL PINE CIR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955204",
            "telephone_number": "727-725-4940",
            "fax_number": "727-725-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVOSS",
        "first_name": "DREMA",
        "middle_name": "GAIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN1918522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.