Individual provider Active NPI

Mirenna Reina Alejo

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1013626092
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023004 Issued in FL
Practice address
6409 Sextant CT
Orlando, FL 32807-4647
Phone
(407) 376-1079
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 APRN11023004 FL Primary

Addresses

Primary practice location

6409 Sextant CT
Orlando, FL 32807-4647

Mailing address

6409 Sextant CT
Orlando, FL 32807-4647
Phone (407) 376-1079

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
I20230428002054 FL Practitioner - Nurse Practitioner 4688039522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

7824 Lake Underhill Rd
Suite J
Orlando, FL 32822-8201
Phone (407) 846-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology Inc CurrentSince Apr 17, 2023 Accepting new patients

Locations

106 Boston Ave
Ste 100
Altamonte Springs, FL 32701
Phone (407) 682-7686

400 Celebration Pl
#A12
Celebration, FL 34747

1655 E Highway 50
Ste 201
Clermont, FL 34711

2060 N Donnelly St
Mount Dora, FL 32757
Phone (352) 383-7703

7824 Lake Underhill Rd
Ste J
Orlando, FL 32822
Phone (407) 273-4848

339 Cypress Pkwy
Ste 110
Poinciana, FL 34759
Phone (407) 343-5000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mreinaalejo@dermorlando.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1013626092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 SEXTANT CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328074647",
            "telephone_number": "407-376-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 SEXTANT CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328074647",
            "telephone_number": "407-376-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINA ALEJO",
        "first_name": "MIRENNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.