Individual provider Active NPI

Jeremy Russell Fritzsche, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1922570837
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000609 Issued in FL
Practice address
2770 Capital Medical Blvd Ste 109-C
Tallahassee, FL 32308-8417
Phone
(850) 877-0320
Fax
(850) 942-0246
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 APRN11000609 FL Primary

Addresses

Primary practice location

2770 Capital Medical Blvd Ste 109-C
Tallahassee, FL 32308-8417

Mailing address

2770 Capital Medical Blvd Ste 109-C
Tallahassee, FL 32308-8417
Phone (850) 877-0320

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
I20190510001841 FL Practitioner - Nurse Practitioner 2163765330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Regional Heart Associates LLCGroup PAC ID 1850532292, 7 clinicians

Practice addresses (Care Compare)

2770 Capital Medical Blvd
Suite 109C
Tallahassee, FL 32308-8417
Phone (850) 877-0320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000609FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Heart Associates, LLC CurrentSince Apr 1, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2770 Capital Medical Blvd
Ste 109C
Tallahassee, FL 32308
Phone (850) 877-0320

2631 Centennial Blvd
Ste 200
Tallahassee, FL 32308
Phone (850) 656-7265

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jeremy.fritzsche@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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 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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1922570837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 109-C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "850-877-0320",
            "fax_number": "850-942-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 109-C",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "850-877-0320",
            "fax_number": "850-942-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZSCHE",
        "first_name": "JEREMY",
        "middle_name": "RUSSELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.