Active NPI
Gerri Dibartolo, CNM
- Advanced Practice Midwife
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN9321786
- Practice address
- 505 Oakfield Dr
Brandon, FL 33511-5700 - Phone
- (813) 684-2229
- Fax
- (813) 813-0330
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 9321786 | FL | |
| Advanced Practice Midwife | 367A00000X | APRN9321786 | FL | Primary |
Addresses
Primary practice location
505 Oakfield Dr
Brandon, FL 33511-5700
Mailing address
505 Oakfield Dr
Brandon, FL 33511-5700
Phone (813) 684-2229
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11175 County Line Rd
Spring Hill, FL 34609-5615
Phone (352) 686-8884
2433 Country Place Blvd
Trinity, FL 34655-1163
Phone (813) 844-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9321786 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Past | Accepting new patients |
Locations
11175 County Line Rd
Spring Hill, FL 34609
Phone (352) 686-8884
8425 Northcliffe Blvd
Ste 110
Spring Hill, FL 34606
Phone (352) 606-2727
2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- gerri.dibartolo@hca4.eclinicaldirectplus.com
- gdibartolo305567@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba TGH Heart & Vascular Institute Sun City
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
dba TGMG Wesley Chapel
- Family Medicine Physician
- Wesley Chapel, FL
- NPI 1699182998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1952812042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115700",
"telephone_number": "813-684-2229",
"fax_number": "813-813-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 OAKFIELD DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115700",
"telephone_number": "813-684-2229",
"fax_number": "813-813-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBARTOLO",
"first_name": "GERRI",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "9321786",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9321786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.