Individual provider Active NPI

Anthony F Gimino, APRN

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1841917879
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11022467 Issued in FL
Practice address
11616 Lake Underhill Rd Ste 215
Orlando, FL 32825-4465
Phone
(407) 482-7788
Fax
(407) 482-8698
NPI assigned
Oct 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11022467 FL Primary

Addresses

Primary practice location

11616 Lake Underhill Rd Ste 215
Orlando, FL 32825-4465

Mailing address

11616 Lake Underhill Rd Ste 215
Orlando, FL 32825-4465
Phone (407) 482-7788

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
I20221027001383 FL Practitioner - Nurse Practitioner 7810364221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Heart and Vascular Center LLCGroup PAC ID 6800988619, 7 clinicians

Practice addresses (Care Compare)

1780 N Mills Ave
Orlando, FL 32803-1852
Phone (407) 482-7788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare, LLC CurrentSince Oct 20, 2024 Accepting new patients
Pophealthcare, LLC Gerontology CurrentSince Oct 20, 2024 Accepting new patients
Orlando Heart & Vascular Center LLC CurrentSince Oct 14, 2022 Accepting new patients

Locations

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

11616 Lake Underhill Rd
Ste 215
Orlando, FL 32825
Phone (407) 601-5308

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Organizations & group practices 3

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 2

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1841917879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254465",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254465",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMINO",
        "first_name": "ANTHONY",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11022467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.