ISAIAH ANTONEK
NPI 1669870960
Nurse Practitioner - Family in Tampa, FL

Q: What is Isaiah Antonek's NPI number?

The NPI number for Isaiah Antonek is 1669870960. It was assigned to this individual provider in the NPPES registry on December 18, 2014.

Q: What is Isaiah Antonek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Isaiah Antonek was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 18, 2014PECOS Enrolled

302 W FLETCHER AVE, TAMPA, FL 33612(813) 397-5300(813) 738-9001 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2024, Nov 3, 2021, Apr 11, 2021 (3 updates tracked since 2021).

On this page

About Isaiah Antonek NPPES

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

ISAIAH ANTONEK (NPI 1669870960) is an individual family provider in Tampa, Florida, licensed in Florida (ARNP9266788) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669870960

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameISAIAH ANTONEK

Location Address302 W FLETCHER AVETampa, FL 33612-3415

Mailing Address3700 Us Highway 98 NLakeland, FL 33809-3861

Phone(813) 397-5300

Fax(813) 738-9001

Sole ProprietorNo

Enumeration DateDecember 18, 2014

Last NPPES UpdateJune 17, 20243 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1669870960 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 · ARNP9266788

302 W FLETCHER AVE, Tampa, FL 33612

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Secondary Practice Locations 2

Location 13700 US Highway 98 NLakeland, FL 33809-3861 · Phone (863) 815-9523

Location 2302 W Fletcher AveTampa, FL 33612-3415 · Phone (813) 397-5300 · Fax (813) 738-9001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaiah Antonek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Isaiah Antonek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tampa Family Health Centers Inc

Same address

Community Health

302 W FLETCHER AVE
Tampa, FL 33612

Reassigned Medicare billing, Florida enrollment
145 clinicians in this Medicare group

NPI 1861535379 (813) 866-0930

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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.

Other Providers at the Same Location NPPES 20

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

MS. MARY BETH MCDERMOTT LCSW

Social Worker (Clinical)