Individual provider Active NPI

Obinna Nwulu, APRN

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1023760345
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008016 Issued in FL
Practice address
3063 Serendipity Way
Davenport, FL 33896-8624
Phone
(407) 556-5762
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 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 APRN11008016 FL Primary

Addresses

Primary practice location

3063 Serendipity Way
Davenport, FL 33896-8624

Mailing address

3063 Serendipity Way
Davenport, FL 33896-8624
Phone (407) 556-5762

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
I20231011004084 FL Practitioner - Nurse Practitioner 2668827601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health System Sunbelt IncGroup PAC ID 3274657721, 93 clinicians

Practice addresses (Care Compare)

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

5830 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4718
Phone (407) 845-8378

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11008016FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
Florida Lung Asthma and Sleep Specialists, P.a. CurrentSince Oct 5, 2023 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Feb 12, 2025 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Feb 12, 2025 Accepting new patients
Respro Sleep CurrentSince Jul 23, 2025 Accepting new patients

Locations

3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615

4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD

Organizations & group practices 5

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 2

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1023760345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 SERENDIPITY WAY",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968624",
            "telephone_number": "407-556-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 SERENDIPITY WAY",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968624",
            "telephone_number": "407-556-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWULU",
        "first_name": "OBINNA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.