Individual provider Active NPI

Adriel Perez, APRN

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1083276158
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002969 Issued in FL
Practice address
1410 W Broadway St Ste 203
Oviedo, FL 32765-6472
Phone
(407) 865-2716
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 11002969 FL Primary

Addresses

Primary practice location

1410 W Broadway St Ste 203
Oviedo, FL 32765-6472

Mailing address

1410 W Broadway St Ste 203
Oviedo, FL 32765-6472

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
I20200721003544 FL Practitioner - Nurse Practitioner 2365866589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1410 W Broadway St
Suite 203
Oviedo, FL 32765-6472
Phone (407) 980-1876

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002969FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Endocrinology, Diabetes and Metabolism, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Diabetes & Weight Loss Center LLC Family CurrentSince Jan 1, 2023 Accepting new patients

Locations

752 Stirling Center Pl
Ste 1008
Lake Mary, FL 32746
Phone (407) 333-1212

752 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1212

1410 W Broadway St
Ste 203
Oviedo, FL 32765
Phone (407) 865-2716

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCJCD/Endpoint/BFCJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEBDA

Organizations & group practices 2

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 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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1083276158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST STE 203",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W BROADWAY ST STE 203",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656472",
            "telephone_number": "407-865-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ADRIEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.