Unknown Individual – Gerontology Nurse Practitioner, NPI 1790835213
Gerontology Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
601, Brooker Creek Boulevard, Oldsmar, Pinellas County, Florida, 34677, United States
OLDSMAR, FL 346772962
Phone: (813) 818-3236
Type: Location
516, Rapid Falls Drive, Brandon, Hillsborough County, Florida, 33511, United States
BRANDON, FL 335117546
Phone: (813) 681-7482
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 685 | 113 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 50 | 29 | $0 |
Insurance plans in this area (ZIP 34677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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