Individual provider Active NPI

Diana Marcela Bogaert, FNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1013884915
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11043165 Issued in FL
Practice address
14808 Deaton Aly
Orlando, FL 32827-7793
Phone
(646) 533-9061
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 11043165 FL Primary

Addresses

Primary practice location

14808 Deaton Aly
Orlando, FL 32827-7793

Mailing address

14808 Deaton Aly
Orlando, FL 32827-7793

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
I20260120004066 FL Practitioner - Nurse Practitioner 9234616343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 E Main St
Lakeland, FL 33801-4628

4020 Progressive Church Rd
Princeton, NC 27569-8621

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

7465 E Osborn Rd
Scottsdale, AZ 85251-6590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11043165FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healnexxt Woundcare LLC CurrentSince Dec 13, 2025 Accepting new patients
Mobile Wound Care Services - Florida PA CurrentSince Jan 1, 2026 Accepting new patients

Locations

211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1013884915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14808 DEATON ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14808 DEATON ALY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277793",
            "telephone_number": "646-533-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAERT",
        "first_name": "DIANA",
        "middle_name": "MARCELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11043165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.