Individual provider Active NPI

Yodelsa M Valerio

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1073215273
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025183 Issued in FL
Practice address
4800 Deerwood Campus Pkwy
Jacksonville, FL 32246-8317
Phone
(786) 780-3259
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 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 11025183 FL Primary

Addresses

Primary practice location

4800 Deerwood Campus Pkwy
Jacksonville, FL 32246-8317

Mailing address

4800 Deerwood Campus Pkwy
Jacksonville, FL 32246-8317
Phone (813) 416-7643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20230922002119 FL Practitioner - Nurse Practitioner 9234583329 Reassigns benefits to 1 organization
I20260519002903 NY Practitioner - Nurse Practitioner 9234583329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6100 Sprint Pkwy
Suite 200
Leawood, KS 66211-1150

6100 Sprint Pkwy
Suite 200
Leawood, KS 66211-1196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11025183FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare, LLC Family CurrentSince May 25, 2023 Accepting new patients
Pophealthcare, LLC CurrentSince May 25, 2023 Accepting new patients

Locations

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: yodelsa.valerio.1@29290.direct.athenahealth.com

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1073215273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "813-416-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "786-780-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIO",
        "first_name": "YODELSA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.