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COASTAL SENIOR HEALTHCARE INC
NPI 1497289110
Family Medicine - Geriatric Medicine in Bradenton, FL

Active since April 19, 2017
3914 E STATE ROAD 64, BRADENTON, FL 34208(941) 216-3800(941) 216-3703 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Apr 24, 2019, Apr 8, 2019 and 4 more (7 updates tracked since 2017).

About Coastal Senior Healthcare Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL SENIOR HEALTHCARE INC (NPI 1497289110) is a healthcare organization registered as a geriatric medicine in Bradenton, Florida and active in the NPI registry since April 2017. The organization maintains a secondary practice location in Sarasota and lists John K Mcdermott, President, as its authorized official.

NPPES Registry Identity

NPI1497289110
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameCOASTAL SENIOR HEALTHCARE INC
Location Address3914 E STATE ROAD 64Bradenton, FL 34208-9059
Mailing Address3914 E State Road 64Bradenton, FL 34208-9059 · (941) 216-3800 · Fax (941) 216-3703
Phone(941) 216-3800
Fax(941) 216-3703
Organization SubpartNo
Authorized OfficialJohn K McdermottPresident · (941) 216-3800
Enumeration DateApril 19, 2017
Last NPPES UpdateMarch 22, 20237 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1497289110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
3914 E STATE ROAD 64, Bradenton, FL 34208
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Secondary Practice Location 1

Location 18450 Lockwood Ridge RdSarasota, FL 34243-2920 · Phone (941) 216-3800 · Fax (941) 216-3703

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Senior Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Coastal Senior Healthcare Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Brianne Foster, APRN
Nurse Practitioner
NPI 1891307500
3914 E STATE ROAD 64
Bradenton, FL 34208
(941) 216-3800
✔ PECOS✔ Accepts MedicareSame address
Catherine Mcdermott, APRN
Nurse Practitioner
NPI 1609838119
3902 E STATE ROAD 64
Bradenton, FL 34208
(941) 756-1200
✔ PECOS✔ Accepts MedicareSame address
Regina Soderberg, ARNP
Nurse Practitioner
NPI 1508151838
3914 E STATE ROAD 64
Bradenton, FL 34208
(941) 216-3800
✔ PECOS✔ Accepts MedicareSame address
Krystal Young
Nurse Practitioner
NPI 1184419921
3914 E STATE ROAD 64
Bradenton, FL 34208
(941) 216-3800
✔ PECOS✔ Accepts MedicareSame address
Kerrie Henderson, APRN
Nurse Practitioner
NPI 1356694962
3914 E STATE ROAD 64
Bradenton, FL 34208
(941) 216-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Johnson, MD
Family Practice
NPI 1740206549
11715 RANGELAND PKWY
Bradenton, FL 34211
(941) 538-0001
✔ PECOS✔ Accepts Medicare6.8 mi
Diane Raccio, APRN, ANP-BC
Nurse Practitioner
NPI 1053578377
7005 CORTEZ RD W 1ST FLOOR
Bradenton, FL 34210
(941) 750-0602
✔ PECOS7.7 mi
Devin Hartley
Nurse Practitioner
NPI 1740006170
12271 US HIGHWAY 301 N
Parrish, FL 34219
(941) 776-4050
✔ PECOS✔ Accepts Medicare8.0 mi
Autumn Stevanus, MSN, APRN, A-GNP-C
Nurse Practitioner
NPI 1689139297
8614 STATE ROAD 70 E STE 104
Bradenton, FL 34202
(941) 216-3800
✔ PECOS✔ Accepts Medicare9.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Senior Healthcare Inc's NPI number?

The NPI number for Coastal Senior Healthcare Inc is 1497289110. It was assigned to this organization in the NPPES registry on April 19, 2017.

Where is Coastal Senior Healthcare Inc located?

Coastal Senior Healthcare Inc is located at 3914 E State Road 64, Bradenton, FL 34208. The listed phone number is (941) 216-3800.

What is Coastal Senior Healthcare Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Coastal Senior Healthcare Inc enrolled in Medicare?

Yes. Coastal Senior Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Senior Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Senior Healthcare Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Family Practice (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coastal Senior Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama and Wellpoint list Coastal Senior Healthcare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Senior Healthcare Inc was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.