Individual provider Active NPI

David Koutz, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1891176384
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9247168 Issued in FL
Practice address
5130 Sunforest Dr Ste 200
Tampa, FL 33634-6322
Phone
(657) 400-5180
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9247168 FL Primary

Addresses

Primary practice location

5130 Sunforest Dr Ste 200
Tampa, FL 33634-6322

Mailing address

6520 Fort Caroline Rd
Jacksonville, FL 32277-2044
Phone (904) 745-3618

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
I20150824001440 FL Practitioner - Nurse Practitioner 8820303613 Reassigns benefits to 8 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
Physical Medicine Specialists, IncGroup PAC ID 1658335328, 60 clinicians

Practice addresses (Care Compare)

3599 Univeristy Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7373

6400 Brooks Bartram Dr
Jacksonville, FL 32258-5600
Phone (904) 578-7444

Hospital & facility affiliations

  • Mayo Clinic Hospital, Jacksonville, FL, CCN 100151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9247168FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC CurrentSince Dec 1, 2023 Accepting new patients
Physical Medicine Specialists, Inc. CurrentSince May 13, 2024 Accepting new patients
Symphony Specialty Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Paragon Emergency Services LLC CurrentSince Apr 28, 2017 Accepting new patients
Eugene H McCoskey, D.O., P.a. CurrentSince Aug 1, 2021 Accepting new patients
Rmed LLC CurrentSince Jun 6, 2018 Accepting new patients
Pophealthcare, LLC CurrentSince Mar 9, 2026 Accepting new patients
Rmed LLC CurrentSince Jun 6, 2018 Accepting new patients
Clay Primary & Family Care LLC CurrentSince Dec 30, 2023 Accepting new patients
Respiratory Critical Care and Sleep Medicine Associates,Inc CurrentSince May 5, 2021 Accepting new patients
Pophealthcare, LLC Family CurrentSince Mar 9, 2026 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

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

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910

3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251

1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910

8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390

1555 Kingsley Ave
Ste 404
Orange Park, FL 32073
Phone (904) 215-0700

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

865 Blanding Blvd
Orange Park, FL 32065
Phone (904) 276-1133

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: ms_dkoutz@landmarkhealth-direct.org

Organizations & group practices 11

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 1

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1891176384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772044",
            "telephone_number": "904-745-3618",
            "fax_number": "904-722-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346322",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTZ",
        "first_name": "DAVID",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9247168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.