NPIMap

Individual provider Active NPI

Florenda L Fortner, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • New Port Richey, FL
National Provider Identifier
1891781126
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME86987 Issued in FL
Practice address
5535 Grand Blvd
Suite C
New Port Richey, FL 34652
Phone
(727) 841-0700
Fax
(727) 841-6969
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME86987 FL Primary

Addresses

Primary practice location

5535 Grand Blvd
Suite C
New Port Richey, FL 34652

Mailing address

5535 Grand Blvd
Suite C
New Port Richey, FL 34652
Phone (727) 841-0700

Other identifiers 1

IdentifierTypeStateIssuer
270609100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000294 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3375503774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

5535 Grand Blvd
C
New Port Richey, FL 34652-3843
Phone (727) 841-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86987FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florenda L. Fortner, M.D., LLC CurrentSince Oct 4, 2004 Accepting new patients

Locations

7400 Trouble Creek Rd
New Port Richey, FL 34653
Phone (727) 375-2999

5535 Grand Blvd
Ste C
New Prt Rchy, FL 34652
Phone (727) 372-6291

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAICAD/Endpoint/HAICAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAICAD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of New Port RicheyNew Port Richey, FL, CCN 106049 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2020
Mar 13, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 8

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1891781126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 GRAND BLVD",
            "address_2": "SUITE C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-841-0700",
            "fax_number": "727-841-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 GRAND BLVD",
            "address_2": "SUITE C",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-841-0700",
            "fax_number": "727-841-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "FLORENDA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME86987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270609100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.