Ann Gaffka, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3057822 Issued in FL

Practice address

5763 Stewart Ave
Port Orange, FL 32127-4703

Phone

(386) 295-3512

Fax

(386) 222-7376

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Town Center Medical Services LLCGroup PAC ID 1759517568, 5 clinicians

Urgent Care Center of Port Orange LLCGroup PAC ID 5890712806, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Town Center Medical Services, LLC

  dba Advanced Family Practice and Advanced Medical Center Gastroenterology

  • Family Medicine Physician
  • Port Orange, FL
  • NPI 1427498724
  Medicare reassignment Care Compare group
• Urgent Care Center of Port Orange, LLC

  dba Advanced Urgent Care

  • Urgent Care Clinic/Center
  • Port Orange, FL
  • NPI 1891905378
  Medicare reassignment Care Compare group
• Breeze Aesthetics, Inc

  • Primary Care Clinic/Center
  • Port Orange, FL
  • NPI 1255051264
  Authorized official Same address or phone
• East Coast Hospital Inpatient Specialists PLC

  • Specialist
  • Lake Mary, FL
  • NPI 1821078866
  NPD (past)
• Florida Health Care Plan, Inc

  dba FHCP ASC - Orange City

  • Ambulatory Surgical Clinic/Center
  • Orange City, FL
  • NPI 1659759827
  NPD (past)
• Metcare of Florida, Inc

  dba Conviva Care Center

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902893225
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1952457483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5763 STEWART AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274703",
            "telephone_number": "386-295-3512",
            "fax_number": "386-222-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5763 STEWART AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274703",
            "telephone_number": "386-295-3512",
            "fax_number": "386-222-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFKA",
        "first_name": "ANN",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3057822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP3057822",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Fukushima
• Lauren Furey
• Kendra R Fustin
• G & C Healthcare, Inc. (Medicine Shoppe)
• G & S Coordination LLC
• Seneka Rachel Gainer, PHD, LPC, LMFT, NCC
• Carol M Gaines, DO
• Amanda Gaitan
• Jennifer Elizabeth Gaitan, D.C.
• Amanda Galena

• Family Nurse Practitioner in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.