ANDREW G. NEAL (RN, MS(N), FNP-BC) – Family Nurse Practitioner, NPI 1518198621

ANDREW G. NEAL (RN, MS(N), FNP-BC) is a healthcare provider. based in Ponte vedra, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MS(N), FNP-BC. They hold a License No. 121478 (CO). The NPI Number for ANDREW G. NEAL (RN, MS(N), FNP-BC) is 1518198621

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW G. NEAL (RN, MS(N), FNP-BC)
NPI
1518198621
Phone
(904) 671-8329
Address
10430 Ray Rd
Enumeration Date
6 August 2009
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7197765000
Graduation Year
2009 (17 years ago)
PAC ID
8628114147
Group Practice PAC ID
4688583974
Professional Enrollment ID
I20250701003136
Address ID
CO809095533CO1400XBOUL300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:16State licenses:4Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ANDREW G. NEAL (RN, MS(N), FNP-BC)

  • 10430 Ray Rd

    Ponte Vedra, FL 320818813

    Phone: (904) 671-8329

    Type: Location

  • 3205 N ACADEMY BLVD STE 130

    COLORADO SPRINGS, CO 809175152

    Phone:

    Type: Mailing

  • 350 LYCKMAN PL

    FOUNTAIN, CO 808172861

    Phone: (719) 632-5700

    Type: Location

  • Palm Coast Parkway Southwest, Palm Coast, Flagler County, Florida, 32137, United States

    UNIT 303

    PALM COAST, FL 321374776

    Phone: (386) 447-7337

    Fax: (386) 447-7348

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141007001445INurse PractitionerFLTBD
I20210526002628INurse PractitionerAKTBD
I20250701003136INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688583974View full group profile

Reviews

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Frequently asked questions

How is ANDREW G. NEAL (RN, MS(N), FNP-BC) identified in CMS data?
CMS-hosted NPPES data lists ANDREW G. NEAL (RN, MS(N), FNP-BC) with NPI 1518198621.
Does CMS list ANDREW G. NEAL (RN, MS(N), FNP-BC) as active?
Yes — ANDREW G. NEAL (RN, MS(N), FNP-BC) is active in the NPI listing used on this page.
What taxonomy line describes ANDREW G. NEAL (RN, MS(N), FNP-BC)?
For research purposes, treat ANDREW G. NEAL (RN, MS(N), FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREW G. NEAL (RN, MS(N), FNP-BC)?
ANDREW G. NEAL (RN, MS(N), FNP-BC)'s geographic hint is Ponte Vedra, Florida in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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