Individual provider Active NPI

Angelo Marcus Mishio, NP

  • Nurse Practitioner
  • Milton, FL
National Provider Identifier
1962453969
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9203321 Issued in FL
Practice address
6002 Berryhill Rd
Milton, FL 32570-5352
Phone
(850) 936-7880
NPI assigned
May 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9203321 FL Primary

Addresses

Primary practice location

6002 Berryhill Rd
Milton, FL 32570-5352

Mailing address

5931 Parsonage Cir
Milton, FL 32570-3870
Phone (850) 384-5373

Other practice location 1

5360 Glover Ln
Milton, FL 32570-4189
Phone (850) 626-9225

Other practice location 2

5386 Broad St
Milton, FL 32570-2235
Phone (850) 623-4661

Other identifiers 1

IdentifierTypeStateIssuer
267901900MedicaidFL

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
I20031119000042 FL Practitioner - Nurse Practitioner 7113831587 Reassigns benefits to 3 organizations
Practice locations: Milton, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa HB Medical Services LLCGroup PAC ID 4284089335, 35 clinicians

Practice addresses (Care Compare)

6002 Berryhill Rd
Milton, FL 32570-5062
Phone (850) 626-7762

Hospital & facility affiliations

  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

Merit-based Incentive Payment System (MIPS)

Final score
49.22 of 100Reported as group
Quality
8.06
Improvement activities
40
Cost
90.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9203321FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC Nurse Practitioner CurrentSince May 23, 2012 Accepting new patients
Floridian Emergency Specialists LLC Current Accepting new patients
App of Florida HM, LLC CurrentSince Nov 21, 2018 Accepting new patients
NP Services CurrentSince Nov 17, 2024 Accepting new patients
Santa Rosa HB Medical Services LLC Nurse Practitioner CurrentSince Jul 20, 2023 Accepting new patients
Santa Rosa HB Medical Services LLC CurrentSince Jul 20, 2023 Accepting new patients
Santa Rosa Hma Urgent Care LLC Past Accepting new patients
Emergency Medicine Specialists PLC Past Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

5386 Broad St
Milton, FL 32570
Phone (850) 623-4551

5360 Glover Ln
Milton, FL 32570
Phone (850) 626-9225

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

4944 Highway 90
Pace, FL 32571
Phone (850) 994-0431

Organizations & group practices 8

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 1

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": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1962453969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 PARSONAGE CIR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325703870",
            "telephone_number": "850-384-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705352",
            "telephone_number": "850-936-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5360 Glover Ln",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704189",
            "country_code": "US",
            "telephone_number": "850-626-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5386 Broad St",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325702235",
            "country_code": "US",
            "telephone_number": "850-623-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHIO",
        "first_name": "ANGELO",
        "middle_name": "MARCUS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-14",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9203321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267901900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.