NPIMap

Individual provider Active NPI

Veronica A Alessandro, ARNP-C

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1780706507
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3365012 Issued in FL
Practice address
18316 Murdock Cir Unit 108
Port Charlotte, FL 33948-1029
Phone
(941) 629-3500
Fax
(941) 629-3100
NPI assigned
Apr 4, 2007
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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 ARNP3365012 FL Primary

Addresses

Primary practice location

18316 Murdock Cir Unit 108
Port Charlotte, FL 33948-1029

Mailing address

PO Box 512700
Punta Gorda, FL 33951-2700
Phone (941) 629-3500

Other identifiers 2

IdentifierTypeStateIssuer
P00617615OtherFLRR MEDICARE
308894400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000677 FL Practitioner - Nurse Practitioner 6507801172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1711 SW County Rd
760A Desoto Care Alf
Arcadia, FL 34266
Phone (863) 494-2552

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 585-9244

Sterling House Alf
250 Bal Harbor Blvd
Punta Gorda, FL 33950-5294
Phone (941) 740-2652

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David a Butler DO LLC CurrentSince Mar 18, 2012 Accepting new patients
Physician Extenders PA Family CurrentSince Apr 1, 2008 Accepting new patients
Gulf Coast Emergency Physicians PA Past Accepting new patients
Ironhead Ranch, Inc. Past Accepting new patients

Locations

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

18316 Murdock Cir
Unit 108
Pt Charlotte, FL 33948
Phone (239) 229-4270

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

3005 Caring Way
Ste 1
Pt Charlotte, FL 33952
Phone (941) 249-8493

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

1420 E Venice Ave
Venice, FL 34292
Phone (866) 226-9567

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

Hospital & facility affiliations 8

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1780706507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512700",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339512700",
            "telephone_number": "941-629-3500",
            "fax_number": "941-629-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18316 MURDOCK CIR UNIT 108",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481029",
            "telephone_number": "941-629-3500",
            "fax_number": "941-629-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSANDRO",
        "first_name": "VERONICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3365012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00617615",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308894400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.