Active NPI
Elizabeth Bauza Estrada
- Family Nurse Practitioner
- Deltona, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11003628
- Practice address
- 1409 E Hancock Dr
Deltona, FL 32725-6443 - Phone
- (786) 259-3944
- NPI assigned
- Sep 6, 2019
- Last updated
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003628 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11003628 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 11003628 | FL |
Addresses
Primary practice location
1409 E Hancock Dr
Deltona, FL 32725-6443
Mailing address
1409 E Hancock Dr
Deltona, FL 32725-6443
Phone (786) 259-3944
Other practice location 1
1155 W 77th St Apt 312C
Hialeah, FL 33014-3943
Phone (786) 259-3944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1565 Saxon Blvd
Suite 103
Deltona, FL 32725-5823
Phone (386) 574-1423
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003628 | FL | MD | Family Nurse Practitioner |
| 11003628 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Primary Physicians LLC | Current | Accepting new patients | |
| Lahens Medical Center, Inc. | Current | Accepting new patients | |
| Central Florida Primary Physicians | Current | Accepting new patients |
Locations
1565 Saxon Blvd
Ste 103
Deltona, FL 32725
Phone (386) 574-1423
1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJDFBA/Endpoint/EJDFBA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Deltona, FL
- NPI 1437334323
-
- Family Medicine Physician
- Deltona, FL
- NPI 1962714790
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1588844047
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1003465527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 E HANCOCK DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327256443",
"telephone_number": "786-259-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E HANCOCK DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327256443",
"telephone_number": "786-259-3944"
}
],
"practiceLocations": [
{
"address_1": "1155 W 77th St Apt 312C",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330143943",
"country_code": "US",
"telephone_number": "786-259-3944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUZA ESTRADA",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11003628",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11003628",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "11003628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.