Individual provider Active NPI

Albina Valeyevna Mingacheva, NP

  • Nurse Practitioner
  • Bartow, FL
National Provider Identifier
1891246096
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11013745 Issued in FL
Practice address
2200 Osprey Blvd
Bartow, FL 33830-3308
Phone
(863) 533-8111
NPI assigned
Oct 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173893 VA
Nurse Practitioner 363L00000X APRN11013745 FL Primary

Addresses

Primary practice location

2200 Osprey Blvd
Bartow, FL 33830-3308

Mailing address

2200 Osprey Blvd FL 33830
Bartow, FL 33830-3308

Other practice location 1

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911 ext. 5139

Other names 1

  • Albina Mingacheva Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20170425000746 VA Practitioner - Nurse Practitioner 1153607320 Reassigns benefits to 1 organization
I20211101001663 FL Practitioner - Nurse Practitioner 1153607320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilford Sound Emergency Physicians LLCGroup PAC ID 3678833951, 32 clinicians
Polk Emergency Group LLCGroup PAC ID 0547241598, 19 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (954) 939-5000

2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 533-8111

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
88.09
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince Jan 19, 2023 Accepting new patients
Polk Emergency Group LLC Nurse Practitioner CurrentSince Sep 28, 2021 Accepting new patients
Gilford Sound Emergency Physicians LLC Nurse Practitioner CurrentSince Apr 13, 2023 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince Jan 19, 2023 Accepting new patients
Lake Wales Emergency Physicians, LLC Nurse Practitioner CurrentSince Feb 24, 2023 Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1891246096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD FL 33830",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308",
            "telephone_number": "863-533-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Jahnke Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254017",
            "country_code": "US",
            "telephone_number": "804-320-3911 x5139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINGACHEVA",
        "first_name": "ALBINA",
        "middle_name": "VALEYEVNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173893",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11013745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBINA",
            "last_name": "MINGACHEVA",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.