Individual provider Active NPI

Yun Fan, NP

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1043052590
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033208 Issued in FL
Practice address
247 Maitland Ave
Altamonte Springs, FL 32701-4907
Phone
(407) 251-1208
Fax
(855) 439-9666
NPI assigned
Jun 6, 2024
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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 11033208 FL Primary

Addresses

Primary practice location

247 Maitland Ave
Altamonte Springs, FL 32701-4907

Mailing address

2475 Cedar Chase CV
Oviedo, FL 32765-9065
Phone (646) 577-5291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250212002400 NY Practitioner - Nurse Practitioner 8426588955
I20250724003704 FL Practitioner - Nurse Practitioner 8426588955 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Adcs Care Management 1 IncGroup PAC ID 5395247316, 21 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

2014 S Orange Ave
Suite 100
Orlando, FL 32806-3069
Phone (407) 649-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033208FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Jul 28, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Jul 28, 2025 Accepting new patients
Adcs Care Management 1 Inc CurrentSince Jul 26, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jul 28, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA CurrentSince Jul 28, 2025 Accepting new patients
Adcs Care Management 2 Inc CurrentSince Jul 28, 2025 Accepting new patients
Careathome Medical Practice Family CurrentSince Feb 24, 2025 Accepting new patients
Xiao Feng Li MD PA Inc PastSince Jun 9, 2024 Accepting new patients

Locations

247 Maitland Ave
Altamonte Springs, FL 32701
Phone (407) 250-1208

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

2014 S Orange Ave
Ste 100
Orlando, FL 32806
Phone (407) 603-3900

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509

21 Hospital Dr
Ste 170A
Palm Coast, FL 32164
Phone (386) 586-7373

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

20 Burton Hills Blvd
Ste 200
Nashville, TN 37215

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

Interoperability endpoints

  • Direct secure messaging: yun.fan.1@4399.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1043052590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 CEDAR CHASE CV",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659065",
            "telephone_number": "646-577-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014907",
            "telephone_number": "407-251-1208",
            "fax_number": "855-439-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "YUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.