NANCY HERTL FNP-C
NPI 1538775879
Nurse Practitioner - Family in Gainesville, FL

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
4354 NW 23RD AVE, GAINESVILLE, FL 32606(352) 376-4565 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Sep 22, 2020 (2 updates tracked since 2020).

About Nancy Hertl Fnp-c NPPES

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

NANCY HERTL FNP-C (NPI 1538775879) is an individual family provider in Gainesville, Florida, licensed in Florida (11008804) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538775879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY HERTLCredential: FNP-C
Location Address4354 NW 23RD AVEGainesville, FL 32606-6541
Mailing Address4354 Nw 23rd AveGainesville, FL 32606-6541
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 22, 2020
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1538775879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11008804
4354 NW 23RD AVE, Gainesville, FL 32606

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Hertl Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436566676
PECOS Enrollment IDI20210406000114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Hertl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Florida enrollment
  • 517 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
27 services27 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Pharmacy
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Pharmacist
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Pharmacist (Ambulatory Care)
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Pharmacist
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Pharmacist
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Nurse Practitioner (Family)
4354 NW 23RD AVE
GAINESVILLE, FL 32606
Nurse Practitioner (Family)
4354 NW 23RD AVE
GAINESVILLE, FL 32606

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 Nancy Hertl's NPI number?

The NPI number for Nancy Hertl is 1538775879. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Nancy Hertl located?

Nancy Hertl practices at 4354 NW 23rd Ave, Gainesville, FL 32606. The listed phone number is (352) 376-4565.

What is Nancy Hertl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nancy Hertl enrolled in Medicare?

Yes. Nancy Hertl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nancy Hertl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Hertl reassigns Medicare benefits to Minuteclinic LLC (Rockville, MD). The 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 Nancy Hertl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Hertl accept?

Health plans from CareSource list Nancy Hertl 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 Nancy Hertl was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.