Individual provider Active NPI

Alden Alves Bagarra, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1013442920
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9291480 Issued in FL
Practice address
5263 Marbella Isle Dr
Orlando, FL 32837-4748
Phone
(407) 601-2067
Fax
(407) 601-2067
NPI assigned
Apr 28, 2017
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9291480 FL Primary

Addresses

Primary practice location

5263 Marbella Isle Dr
Orlando, FL 32837-4748

Mailing address

5263 Marbella Isle Dr
Orlando, FL 32837-4748
Phone (407) 601-2067

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALDEN.BAGARRA@hca4.eclinicaldirectplus.com

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
I20200211000970 FL Practitioner - Nurse Practitioner 9830525898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

700 W Oak St
Kissimmee, FL 34741-4924
Phone (561) 997-0831

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9291480FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Consortium Inc Family CurrentSince Dec 23, 2019 Accepting new patients

Locations

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: alden.bagarra@hca4.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1013442920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 MARBELLA ISLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374748",
            "telephone_number": "407-601-2067",
            "fax_number": "407-601-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 MARBELLA ISLE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374748",
            "telephone_number": "407-601-2067",
            "fax_number": "407-601-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGARRA",
        "first_name": "ALDEN",
        "middle_name": "ALVES",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9291480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALDEN.BAGARRA@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5263 Marbella Isle Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328374748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.