Individual provider Active NPI

Grecia Sofia Ibarra, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1891030417
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4030433 Issued in KY
Practice address
8407 Pinehurst Dr Ste 104
Tampa, FL 33615-1532
Phone
(813) 850-0050
Fax
(813) 308-5500
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X APRN9314378 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9314378 FL
Family Nurse Practitioner 363LF0000X 4030433 KY Primary

Addresses

Primary practice location

8407 Pinehurst Dr Ste 104
Tampa, FL 33615-1532

Mailing address

19119 Dove Rd
Land O Lakes, FL 34638-2592
Phone (813) 679-6236

Other identifiers 1

IdentifierTypeStateIssuer
104499900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, PA, KY, VT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20130402000358 FL Practitioner - Nurse Practitioner 7618112285 Reassigns benefits to 4 organizations
I20191008000923 NY Practitioner - Nurse Practitioner 7618112285 Reassigns benefits to 3 organizations
I20220427003214 PA Practitioner - Nurse Practitioner 7618112285 Reassigns benefits to 1 organization
I20241203000858 KY Practitioner - Nurse Practitioner 7618112285 Reassigns benefits to 1 organization
I20241217003478 VT Practitioner - Nurse Practitioner 7618112285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

140 Burwell St
Little Falls, NY 13365-1725
Phone (315) 823-1000

8407 Pinehurst Dr
Suite 104
Tampa, FL 33615-1532
Phone (813) 850-0050

Hospital & facility affiliations

  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085
  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9314378FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Family CurrentSince Nov 23, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 5, 2023 Accepting new patients
Practitioners Alliance Behavioral Psychiatric/Mental Health CurrentSince Aug 1, 2020 Accepting new patients
Porter Hospital, Inc Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
Ahn Hospitalist Group, LTD CurrentSince Apr 6, 2022 Accepting new patients
Cogent Medical Care PC Hospitalist CurrentSince Aug 17, 2019 Accepting new patients
MCR Health, Inc. Family CurrentSince Jan 21, 2022 Accepting new patients
Balanced Wellbeing LLC CurrentSince Dec 1, 2021 Accepting new patients
Grecia S Ibarra Aprn LLC Psychiatric/Mental Health CurrentSince Sep 4, 2024 Accepting new patients
MVHS Inc CurrentSince Nov 27, 2023 Accepting new patients
Owensboro Health Medical Group, Inc Family CurrentSince Nov 23, 2024 Accepting new patients
MVHS Inc CurrentSince Nov 27, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 5, 2023 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
MCR Health, Inc. CurrentSince Jan 21, 2022 Accepting new patients
Franciscan Medical Group PastSince Aug 25, 2024 Accepting new patients
Florida Health Sciences Center Inc Past Accepting new patients

Locations

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

8407 Pinehurst Dr
Ste 104
Tampa, FL 33615
Phone (813) 850-0050

7504 Cypress Gardens Blvd
Ste 7504
Winter Haven, FL 33884
Phone (863) 875-6063

7450 Cypress Gardens Blvd
Ste 7504
Winter Haven, FL 33884
Phone (863) 875-6063

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2215 Genesee St
Utica, NY 13501
Phone (315) 801-4238

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

Interoperability endpoints

  • Direct secure messaging: grecia.ibarra@317618992447492.direct.elationemr.com
  • Direct secure messaging: grecia.ibarra@332.emedpractice.direct-ci.com

Organizations & group practices 17

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.

View all 17

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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1891030417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19119 DOVE RD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382592",
            "telephone_number": "813-679-6236",
            "fax_number": "813-308-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 PINEHURST DR STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151532",
            "telephone_number": "813-850-0050",
            "fax_number": "813-308-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "GRECIA",
        "middle_name": "SOFIA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN9314378",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9314378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4030433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104499900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.