Active NPI
Adam David Bates
- Acute Care Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1861379091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11046694
- Practice address
- 455 Pinellas St Ste 400
Clearwater, FL 33756-3356 - Phone
- (727) 455-1911
- NPI assigned
- Aug 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11046694 | FL | Primary |
Addresses
Primary practice location
455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Mailing address
455 Pinellas St Ste 400
Clearwater, FL 33756-3356
Phone (727) 455-1911
Other practice location 1
8839 Bryan Dairy Rd Ste 300
Largo, FL 33777-1207
Phone (727) 394-1986
Other practice location 2
1840 Mease Dr Ste 202
Safety Harbor, FL 34695-6604
Phone (727) 725-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
455 Pinellas St
Suite 400
Clearwater, FL 33756-3369
5641 29TH Ave N
St Petersburg, FL 33710-2503
PO Box
Jacksonville, FL 32255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9577322 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1861379091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PINELLAS ST STE 400",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563356",
"telephone_number": "727-455-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PINELLAS ST STE 400",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563356",
"telephone_number": "727-455-1911"
}
],
"practiceLocations": [
{
"address_1": "8839 Bryan Dairy Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337771207",
"country_code": "US",
"telephone_number": "727-394-1986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Mease Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Safety Harbor",
"state": "FL",
"postal_code": "346956604",
"country_code": "US",
"telephone_number": "727-725-6246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "ADAM",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-19",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11046694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.