Individual provider Active NPI

Domys Esther Pena, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1013485739
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000415 Issued in FL
Practice address
1834 N Alafaya TRL Unit 3
Orlando, FL 32826-4716
Phone
(407) 627-0062
Fax
(407) 674-7346
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000415 FL Primary
Family Nurse Practitioner 363LF0000X 9369566 FL

Addresses

Primary practice location

1834 N Alafaya TRL Unit 3
Orlando, FL 32826-4716

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other identifiers 1

IdentifierTypeStateIssuer
102393500MedicaidFL

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
I20190912002100 FL Practitioner - Nurse Practitioner 5092044230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

1834 N Alafaya Trail
Orlando, FL 32826-4743
Phone (407) 627-0062

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9369566FLMDFamily Nurse Practitioner
APRN11000415FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC CurrentSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC CurrentSince Jul 3, 2019 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients

Locations

121 S Orange Ave
Ste 940
Orlando, FL 32801
Phone 4076589687 ext. 129

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

900 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 281-6424

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

1834 N Alafaya Trl
Orlando, FL 32826
Phone (407) 627-0062

1834 N Alafaya Trl
Unit 3
Orlando, FL 32826
Phone (407) 627-0062

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: domys.pena.antunez.1@27472.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1013485739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 N ALAFAYA TRL UNIT 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264716",
            "telephone_number": "407-627-0062",
            "fax_number": "407-674-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "DOMYS",
        "middle_name": "ESTHER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000415",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9369566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102393500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.