Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nadia Hogan

Individual provider Family Nurse Practitioner · NPI 1104612704

Nadia Hogan is a Nurse Practitioner in Bradenton, Florida. Qualified in 2024, 2 years ago. Practices with Luminary Dermatology PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025

Practice location Address checks out

2101 61st St W
Bradenton, FL 34209-5528
Phone: (941) 667-9070
Fax: (941) 296-8501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11038872 (FL)

Record details

NPI number1104612704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address4411 Bee Ridge Rd # 309, Sarasota, FL 34233-2514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Luminary Dermatology Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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