Individual provider Active NPI

Victor Gagno, NP

  • Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1831188564
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2116022 Issued in FL
Practice address
3000 Coral Hills Dr
Phoenix Emergency Medicine of Broward, LLC
Coral Springs, FL 33065-4108
Phone
(954) 344-3000
NPI assigned
Oct 15, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2116022 FL Primary

Addresses

Primary practice location

3000 Coral Hills Dr
Phoenix Emergency Medicine of Broward, LLC
Coral Springs, FL 33065-4108

Mailing address

2724 Ravella Way
Palm Beach Gardens, FL 33410-2965

Other identifiers 1

IdentifierTypeStateIssuer
P00197433OtherRR MCR

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
I20050223000715 FL Practitioner - Nurse Practitioner 9032162656 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

Practice addresses (Care Compare)

10520 Forest Hill Blvd
Wellington, FL 33414-3179
Phone (561) 204-9355

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

6264 W Sample Rd
Coral Springs, FL 33067-3273

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Mar 24, 2012 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner CurrentSince Jun 1, 2016 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Aug 20, 2013 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Mar 24, 2012 Accepting new patients
Sterling Emergency Services of Florida PA Current Accepting new patients
Baptist Outpatient Services Inc CurrentSince Mar 1, 2021 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jul 28, 2010 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Mar 1, 2021 Accepting new patients
Sterling Emergency Services of Florida PA Nurse Practitioner CurrentSince Jan 1, 2005 Accepting new patients
Sterling Emergency Services of Florida PA Nurse Practitioner CurrentSince Jan 1, 2005 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC Current Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

3501 Health Center Blvd
Ste 2220
Estero, FL 34135
Phone (239) 948-5727

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

10520 Forest Hill Blvd
Ste 300
Wellington, FL 33414
Phone (561) 204-9355

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

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": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1831188564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 RAVELLA WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "address_2": "PHOENIX EMERGENCY MEDICINE OF BROWARD, LLC",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654108",
            "telephone_number": "954-344-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNO",
        "first_name": "VICTOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-15",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2116022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00197433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.