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Deactivated NPI 1073789780 Deactivated / Inactive NPI Male Practitioner

Gary Ingwersen

Specialist • Vero Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gary Ingwersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 02, 2008
NPI Deactivation Date November 01, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Gary Ingwersen was a registered Specialist practicing in Vero Beach, FL. Throughout an active medical career spanning 15 years, Gary Ingwersen provided care at the practice location at 1360 US 1 until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

1360 Us 1
Suite 5

Vero Beach, FL 329605703

Telephone 7726964868

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Vero Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.8 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Vero Beach, FL (3036 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL MA32686

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dana Gulati , AP

Acupuncturist

NPI 1215250097
Stephanie Andersen , LMT

Massage Therapist

NPI 1841584323

Licensed Massage Therapist

NPI 1871739706

Licensed Massage Therapist, MHT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active May 02, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 02, 2008

Registered at 1360 US 1, SUITE 5, VERO BEACH, FL 329605703 (Tel: 7726964868)

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Updated Business Mailing Address May 02, 2008

Registered at 1360 US 1, SUITE 5, VERO BEACH, FL 32960 (Tel: 7726964868)

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Provider Name / Credentials Updated May 02, 2008

Recorded as GARY INGWERSEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2008

Specialist (License #MA32686 in FL)

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Initial NPI Registration & Enumeration May 02, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073789780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2008
Last Update: May 02, 2008
Deactivation Date: November 01, 2023

Mailing Address

1360 Us 1, Suite 5

Vero Beach, FL 32960

Phone: 7726964868

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.