Individual provider Active NPI

Anna Ibragimova, ANP

  • Adult Health Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1881090470
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306960-1 Issued in NY
Practice address
6832 14TH St W Unit 3
Bradenton, FL 34207-5866
Phone
(941) 297-2022
NPI assigned
Nov 10, 2014
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306960-1 NY Primary

Addresses

Primary practice location

6832 14TH St W Unit 3
Bradenton, FL 34207-5866

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150102001222 NY Practitioner - Nurse Practitioner 0941523674 Reassigns benefits to 1 organization
I20220720002907 FL Practitioner - Nurse Practitioner 0941523674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archwell Health Medical of Florida LLCGroup PAC ID 5597127456, 15 clinicians

Practice addresses (Care Compare)

6832 14TH St W
Unit 3
Bradenton, FL 34207-5866
Phone (941) 297-2022

Merit-based Incentive Payment System (MIPS)

Final score
93.04 of 100Reported as group
Quality
87.5
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F306960-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Consultants CurrentSince Jul 18, 2022 Accepting new patients
Jamaica Hospital CurrentSince Feb 22, 2016 Accepting new patients
Archwell Health Medical of Florida, LLC CurrentSince Mar 31, 2024 Accepting new patients
Jamaica Hospital CurrentSince Feb 22, 2016 Accepting new patients
Medical Therapy of New York, PLLC Past Accepting new patients
Peninsula Radiology Associates P C Past Accepting new patients

Locations

6832 14th St W
Unit 3
Bradenton, FL 34207
Phone (941) 297-2022

6310 Health Park Way
Ste 120
Lakewood Ranch, FL 34202
Phone (941) 907-8951

9423 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 907-8951

543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.747353
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCGCD

Organizations & group practices 6

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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1881090470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 14TH ST W UNIT 3",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075866",
            "telephone_number": "941-297-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAGIMOVA",
        "first_name": "ANNA",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306960-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.