Agnes V Nall, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME0062805 Issued in FL

Practice address

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8604

Phone

(941) 748-2455

Fax

(941) 746-4554

NPI assigned

Jul 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

University of Louisville School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Manatee Hearing and Speech Center IncGroup PAC ID 2860474822, 11 clinicians

Ear, Nose, and Throat Associates of Manatee, PAGroup PAC ID 6406820026, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: agnesnall@entofmanatee.emadirect.md

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.

• Ear, Nose, and Throat Associates of Manatee, PA

  • Specialist
  • Bradenton, FL
  • NPI 1730230764
  Medicare reassignment Care Compare group NPD
• Manatee Hearing & Speech Center, Inc.

  • Audiologist
  • Bradenton, FL
  • NPI 1215939590

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Manatee Hearing & Speech Center Inc

  • Specialist
  • Bradenton, FL
  • NPI 1255686515
  NPD
• Manatee Hearing & Speech Center Inc

  • Specialist
  • Sun City Center, FL
  • NPI 1568719904
  NPD

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

• Doctor'S Choice Home Care, LLC

  • Home Health Agency
  • Bradenton, FL
  • NPI 1104082932
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Manatee Memorial Hospital L P

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1780683441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025185",
            "country_code": "US",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "772 Cortaro Dr",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335736811",
            "country_code": "US",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NALL",
        "first_name": "AGNES",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0062805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "923602",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "32543",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agnesnall@entofmanatee.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "HISP Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Manatee Ave W",
            "address_2": "SUITE 202",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342058604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Otolaryngology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.