Va Im (NPI# 1396010229, PAC ID# 4284866427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1396010229 |
PAC ID by PECOS | 4284866427 |
Professional Enrollment ID | I20140422001406 |
Full Name | Va Im |
Organization Legal Name | COASTAL SENIOR HEALTHCARE INC |
Address |
3914 E State Rd Suite 64 Bradenton FL 34208-9059 |
Phone Number | 9412163800 |
Gender | F |
Graduation Year | 2011 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3678840600 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100035 | MANATEE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 | 9412163800 | COASTAL SENIOR HEALTHCARE INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 60% | |
ACI_EC_TRANS_EP_1 | e-Prescribing | 60% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 55% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 55% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 2% | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 2% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 3% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 3% | |
MIPS_EC_047_overall | Care Plan | 5% | |
MIPS_EC_047_overall | Care Plan | 5% | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
Organization Legal Name | COASTAL SENIOR HEALTHCARE INC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacy Lee Sauer | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Katie A Spada | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Autumn Nicole Stevanus | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Linda J Copher | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Daniel J Johnson | Family Medicine | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Kristi Cay Kita | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Kelly Ann Marechal | Nurse Practitioner | Coastal Senior Healthcare Inc | 820 5th St W, Palmetto, FL 34221-5018 |
Kris J Minko | Nurse Practitioner | Coastal Senior Healthcare Inc | 820 5th St W, Palmetto, FL 34221-5018 |
Street Address |
3914 E STATE RD SUITE 64 |
City | BRADENTON |
State | FL |
Zip | 34208-9059 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacy Lee Sauer | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Robert J Klukoff | Psychologist, Clinical | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Katie A Spada | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Sarah Matilda Dixon-bowdell | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Catherine I Mcdermott | Nurse Practitioner | Gulfside Behavioral Care Np Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Autumn Nicole Stevanus | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Linda J Copher | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Daniel J Johnson | Family Medicine | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Kristi Cay Kita | Nurse Practitioner | Coastal Senior Healthcare Inc | 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sabrina Baker | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Bijal J Patel | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Michelle G Green | Nurse Practitioner | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Cassandra M. Hafner | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Ashley Metzgar | Physician Assistant | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Catherine Mauldin Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
James M Pineno | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Christopher M Cooper | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Natalie E Borg | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Andrew R Clark | Family Medicine | Cooper Family Medical Pllc | 5123 4th Ave Cir E, Bradenton, FL 34208 |
Find all physicians in zip 34208 |
City | BRADENTON |
Zip Code | 34208 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BRADENTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Va Im.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.