Individual provider Active NPI

Aleesa Junel Ponce, APRN, CNM

  • Advanced Practice Midwife
  • Sanford, FL
National Provider Identifier
1093368045
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11003321 Issued in FL
Practice address
4932 W State Road 46
Sanford, FL 32771-9242
Phone
(407) 635-3340
Fax
(407) 636-7847
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11003321 FL Primary

Addresses

Primary practice location

4932 W State Road 46
Sanford, FL 32771-9242

Mailing address

4932 W State Road 46
Sanford, FL 32771-9242
Phone (407) 635-3340

Other practice location 1

661 E Altamonte Dr Ste 318&328
Altamonte Springs, FL 32701-5105
Phone (407) 303-5204

Other names 1

  • Aleesa Junel Tomlinson Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926001050 FL Practitioner - Certified Nurse Midwife (CNM) 7113257627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

4932 W State Rd
46 Suite 1090
Sanford, FL 32771-9244
Phone (407) 635-3340

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11003321FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 8, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 8, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 28, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 28, 2019 Accepting new patients
Physician Associates LLC Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 318328
Altamonte Springs, FL 32701
Phone (407) 303-5204

931 N Sr 434
Ste 1285
Altamonte Springs, FL 32714
Phone (407) 635-5514

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4932 W State Road 46
Ste 1090
Sanford, FL 32771
Phone (407) 635-3330

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: atomlinson321357@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1093368045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 W STATE ROAD 46",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719242",
            "telephone_number": "407-635-3340",
            "fax_number": "407-636-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 W STATE ROAD 46",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719242",
            "telephone_number": "407-635-3340",
            "fax_number": "407-636-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 E Altamonte Dr Ste 318&328",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327015105",
            "country_code": "US",
            "telephone_number": "407-303-5204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONCE",
        "first_name": "ALEESA",
        "middle_name": "JUNEL",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11003321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEESA",
            "last_name": "TOMLINSON",
            "middle_name": "JUNEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.