Individual provider Active NPI

David Benjamin Meistrich

  • Family Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1790543213
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031005 Issued in FL
Practice address
701 N Wilder Rd
Plant City, FL 33566-7547
Phone
(386) 562-4899
NPI assigned
Mar 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 APRN11031005 FL Primary

Addresses

Primary practice location

701 N Wilder Rd
Plant City, FL 33566-7547

Mailing address

PO Box 269092
Oklahoma City, OK 73126-9092

Other practice location 1

2202 W Oak Ave
Plant City, FL 33563-7222
Phone (386) 562-4899

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
I20240328002169 FL Practitioner - Nurse Practitioner 1658718424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health Providers of FloridaGroup PAC ID 9335487255, 5 clinicians

Practice addresses (Care Compare)

701 N Wilder Rd
Plant City, FL 33566-7547
Phone (386) 562-4899

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health Providers of Florida CurrentSince Mar 15, 2024 Accepting new patients

Locations

100 N Lake St
Crescent City, FL 32112
Phone (386) 562-4899

100 W Indiana Ave
Deland, FL 32720

2121 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 771-8400

2202 W Oak Ave
Plant City, FL 33563
Phone (386) 562-4899

701 N Wilder Rd
Plant City, FL 33566
Phone (386) 562-4899

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18512/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 1

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1790543213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269092",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WILDER RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335667547",
            "telephone_number": "386-562-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 W Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335637222",
            "country_code": "US",
            "telephone_number": "386-562-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISTRICH",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.