Individual provider Active NPI

Cristina Mary Zeretzke-Bien, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Gainesville, FL
National Provider Identifier
1790864759
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
203610 Issued in LA
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-0186
Phone
(352) 265-5911
Fax
(352) 265-5606
NPI assigned
Nov 2, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 511386 FL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 203610 LA Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-0186

Mailing address

1600 SW Archer Rd
Gainesville, FL 32610-0186
Phone (352) 265-5911

Other identifiers 3

IdentifierTypeStateIssuer
012969500MedicaidFL
08384377MedicaidMS
1073334MedicaidLA

Other names 1

  • Dr. Cristina Mary Zeretzke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090604000349 FL Practitioner - Pediatric Medicine 0941350409 Reassigns benefits to 4 organizations
I20100804001123 LA Practitioner - Pediatric Medicine 0941350409 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
511386FLMDPediatrics Physician
203610LAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics Current Accepting new patients
Emergency Physicians Inc CurrentSince Sep 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Emergency Physicians Inc CurrentSince Sep 1, 2024 Accepting new patients
Independence Emergency Group LLC CurrentSince Dec 10, 2017 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 5, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 5, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 5, 2024 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Dec 15, 2019 Accepting new patients
Our Lady of the Lake Hospital Inc Past Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2100 NW 35th Avenue Rd
Ocala, FL 34475
Phone (352) 280-7400

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

Interoperability endpoints

  • Direct secure messaging: czeretzkebien156170@direct.shands.ufl.edu
  • Direct secure messaging: czeretzkebien704303@direct.shands.ufl.edu

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1790864759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100186",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERETZKE-BIEN",
        "first_name": "CRISTINA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "511386",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "LA",
            "license": "203610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012969500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08384377",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073334",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "ZERETZKE",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.