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EMILY PRESNELL
NPI 1598167405
Nurse Practitioner in Gainesville, FL

Active since September 23, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6400 W NEWBERRY RD STE 103, GAINESVILLE, FL 32605(352) 333-5946 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emily Presnell NPPES

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

EMILY PRESNELL (NPI 1598167405) is an individual nurse practitioner in Gainesville, Florida, licensed in Florida (ARNP9323963) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Hca Florida North Florida Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598167405
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEMILY PRESNELL
Location Address6400 W NEWBERRY RD STE 103Gainesville, FL 32605-4384
Mailing Address6400 W Newberry Rd Ste 103Gainesville, FL 32605-4384
Phone(352) 333-5946
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 23, 2014
Last NPPES UpdateFebruary 10, 2022
✔ NPI 1598167405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9323963
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6400 W NEWBERRY RD STE 103, Gainesville, FL 32605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Presnell 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 ID6800017120
PECOS Enrollment IDI20141029001550
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.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
267 services181 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%78 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%293 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

AIMEE JOANN KALB PA-C
Physician Assistant (Surgical)
6400 W NEWBERRY RD STE 103
GAINESVILLE, FL 32605
Alachua County (352) 333-5946
MARIA PAULA RUIZ D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
6400 W NEWBERRY RD STE 103
GAINESVILLE, FL 32605
Alachua County (352) 333-5946

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 Emily Presnell's NPI number?

The NPI number for Emily Presnell is 1598167405. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Emily Presnell located?

Emily Presnell practices at 6400 W Newberry Rd Ste 103, Gainesville, FL 32605. The listed phone number is (352) 333-5946.

What is Emily Presnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emily Presnell enrolled in Medicare?

Yes. Emily Presnell 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.

What insurance does Emily Presnell accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed and Oscar Health Maintenance Organization of Florida list Emily Presnell 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.

Is Emily Presnell affiliated with any hospitals?

According to CMS data, Emily Presnell is affiliated with Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Emily Presnell was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.