Individual provider Active NPI

Katelyn R Schwartz, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1003647173
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11034763 Issued in FL
Practice address
1012 Lucerne Ter FL 1
Orlando, FL 32806-1015
Phone
(407) 423-1039
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11034763 FL
Student in an Organized Health Care Education/Training Program 390200000X
Adult Health Nurse Practitioner 363LA2200X APRN11034763 FL Primary

Addresses

Primary practice location

1012 Lucerne Ter FL 1
Orlando, FL 32806-1015

Mailing address

1012 Lucerne Ter
1St FL MP 803
Orlando, FL 32806-1015
Phone (407) 423-1039

Other practice location 1

1012 Lucerne Ter
1St FL MP 803
Orlando, FL 32806-1015
Phone (407) 423-1039

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826002665 FL Practitioner - Nurse Practitioner 5092215749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Sligh Blvd
Orlando, FL 32806-3901

PO Box
Orlando, FL 32891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11034763FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jun 20, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 20, 2025 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1012 Lucerne Ter
Fl 1
Orlando, FL 32806

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1003647173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 LUCERNE TER",
            "address_2": "1ST FL MP 803",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061015",
            "telephone_number": "407-423-1039",
            "fax_number": "321-843-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 LUCERNE TER FL 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061015",
            "telephone_number": "407-423-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 LUCERNE TER",
            "address_2": "1ST FL MP 803",
            "address_purpose": "LOCATION",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061015",
            "country_code": "US",
            "telephone_number": "407-423-1039",
            "fax_number": "321-843-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "KATELYN",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11034763",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11034763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.