Individual provider Active NPI

Anton M Dragonetti, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1972091221
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9294915 Issued in FL
Practice address
4024 Central Ave
St Petersburg, FL 33711-1239
Phone
(727) 327-7656
Fax
(727) 322-2110
NPI assigned
Apr 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9294915 FL Primary

Addresses

Primary practice location

4024 Central Ave
St Petersburg, FL 33711-1239

Mailing address

PO Box 10970
St Petersburg, FL 33733-0970
Phone (727) 327-7656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, NY, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180605001986 FL Practitioner - Nurse Practitioner 8224393640 Reassigns benefits to 4 organizations
I20210909003132 AZ Practitioner - Nurse Practitioner 8224393640 Reassigns benefits to 4 organizations
I20240131003149 NY Practitioner - Nurse Practitioner 8224393640 Reassigns benefits to 1 organization
Practice locations: New City, NY
I20250117003081 OR Practitioner - Nurse Practitioner 8224393640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafrontera Center IncGroup PAC ID 0648171330, 14 clinicians

Practice addresses (Care Compare)

1601 E Apache Park PL
Tucson, AZ 85714-1775
Phone (520) 742-0260

4891 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 296-3296

502 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 884-9920

504 W 29TH St
Tucson, AZ 85713-3353

Merit-based Incentive Payment System (MIPS)

Final score
72.74 of 100Reported as group
Quality
13.33
Promoting interoperability
80
Improvement activities
40
Cost
95.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9294915FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafrontera Center Inc CurrentSince Aug 3, 2023 Accepting new patients
B. Ronald Lopez, M.D.P.a. CurrentSince Apr 12, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 9, 2023 Accepting new patients
La Frontera Center, Inc. Current Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Sep 15, 2021 Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince Aug 3, 2023 Accepting new patients
Suncoast Center, Inc. CurrentSince Apr 30, 2018 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. CurrentSince Aug 3, 2023 Accepting new patients
La Frontera Center, Inc. Past Accepting new patients
La Frontera Center, Inc. PastSince Mar 12, 2023 Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients
Lafrontera Center Inc. Past Accepting new patients

Locations

470 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-7080

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

4755 Campus Dr
Sierra Vista, AZ 85635
Phone (520) 226-3020

1141 W Grant Rd
Ste 100
Tucson, AZ 85705
Phone (520) 206-8600

502 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

1210 E Pennsylvania St
Tucson, AZ 85714
Phone (520) 741-2351

1900 W Speedway Blvd
Tucson, AZ 85745
Phone (520) 792-0591

1430 N Oracle Rd
Tucson, AZ 85705
Phone (520) 741-3120

3620 N Mountain Ave
Tucson, AZ 85719
Phone (520) 838-3932

1601 E Apache Park Pl
Tucson, AZ 85714
Phone (520) 742-0260

504 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

4891 E Grant Rd
Tucson, AZ 85712
Phone (520) 296-3296

260 S Scott Ave
Tucson, AZ 85701
Phone (520) 884-8470

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2843 Palm Harbor Blvd
Palm Harbor, FL 34683
Phone (727) 772-0038

4024 Central Ave
St Petersburg, FL 33711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1972091221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10970",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337330970",
            "telephone_number": "727-327-7656",
            "fax_number": "727-322-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111239",
            "telephone_number": "727-327-7656",
            "fax_number": "727-322-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGONETTI",
        "first_name": "ANTON",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9294915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.