Andrea Margaret Bytheway
Individual provider Active NPI Nurse Practitioner · Palatka, FL
NPI 1831748623 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1831748623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP11003894 (FL)
- Practice address
- 6500 Crill Ave
Palatka, FL 32177-9230 - Phone
- (386) 326-0575
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Express Urgent Care, LLC
Practice addresses (Care Compare)
6500 Crill Ave
Suite 5
Palatka, FL 32177-9230
Phone (386) 326-0575
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210205000148 | FL | Practitioner - Nurse Practitioner | 6507270303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP11003894 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Urgent Care, LLC | Current |
Accepting new patients |
Locations
6500 Crill Ave
Palatka, FL 32177
Phone (386) 326-0575
6500 Crill Ave
Ste 5
Palatka, FL 32177
Phone (386) 326-0575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP11003894 | FL | Yes |
Addresses
Primary practice location
6500 Crill Ave
Palatka, FL 32177-9230
Mailing address
6500 Crill Ave
Palatka, FL 32177-9230
Phone (386) 326-0575
Other providers in Palatka, FL
- Vicky P Buckles
- Lynn Marie Burney
- Krystal M Butler-Fernandez
- Paula L Butler
- Clemens Byatt
- Robin Calhoun
- Canaday and Jagedo Physician Associates PL
- Narsimha Candula
- Cardiac Care Center Inc
- Francis Carmel
All providers in Palatka, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.