Individual provider Active NPI

Nataliya Gerasimenko, APRN

  • Family Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1083432470
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035468 Issued in FL
Practice address
3331 Buoy Cir
Winter Garden, FL 34787-9070
Phone
(407) 864-9220
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 11035468 FL Primary

Addresses

Primary practice location

3331 Buoy Cir
Winter Garden, FL 34787-9070

Mailing address

3331 Buoy Cir
Winter Garden, FL 34787-9070
Phone (407) 864-9220

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
I20260202001553 FL Practitioner - Nurse Practitioner 0749768646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Spine and Pain InstituteGroup PAC ID 7012294556, 14 clinicians

Practice addresses (Care Compare)

1804 Oakley Seaver Dr
Suite F
Clermont, FL 34711-1925
Phone (407) 499-0755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035468FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Spine & Pain Institute CurrentSince Dec 24, 2025 Accepting new patients

Locations

1804 Oakley Seaver Dr
Ste F
Clermont, FL 34711
Phone (407) 499-0755

410 Lionel Way
Ste 202
Davenport, FL 33837
Phone (407) 499-0755

5200 Davisson Ave
Ste B
Orlando, FL 32810
Phone (407) 300-1188

Organizations & group practices 1

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1083432470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 BUOY CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879070",
            "telephone_number": "407-864-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 BUOY CIR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879070",
            "telephone_number": "407-864-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERASIMENKO",
        "first_name": "NATALIYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.