Va Im
COASTAL SENIOR HEALTHCARE INC


Address: 3914 E State Rd, Suite 64, Bradenton, FL 34208-9059
Phone: 9412163800

Va Im (NPI# 1396010229, PAC ID# 4284866427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100035 MANATEE MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
3914 E State Rd, Suite 64, Bradenton, FL 34208-9059 9412163800 COASTAL SENIOR HEALTHCARE INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name COASTAL SENIOR HEALTHCARE INC
Physicians 9

Physicians with the same organization

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

Office Location

Street Address 3914 E STATE RD
SUITE 64
City BRADENTON
State FL
Zip 34208-9059

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City BRADENTON
Zip Code 34208
Specialty NURSE PRACTITIONER
City + Specialty BRADENTON + NURSE PRACTITIONER

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Dataset Information

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.

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