Individual provider Active NPI

Shermaine Chloe Acosta, APRN

  • Adult Health Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1093478828
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11016076 Issued in FL
Practice address
17000 Porter Rd
Winter Garden, FL 34787-8915
Phone
(407) 648-5384
Fax
(321) 841-6975
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group Inc 2,171 clinicians

Practice addresses (Care Compare)

17000 Porter Rd
Winter Garden, FL 34787-8915
Phone (321) 841-3467

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

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

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211213001711 FL Practitioner - Nurse Practitioner 7719377407 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016076FLMDFamily Nurse Practitioner
APRN11016076FLMDFamily Nurse Practitioner

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients

Locations

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

17000 Porter Rd
Winter Garden, FL 34787
Phone (321) 841-3467

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11016076 FL
Family Nurse Practitioner 363LF0000X APRN11016076 FL
Adult Health Nurse Practitioner 363LA2200X APRN11016076 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

17000 Porter Rd
Winter Garden, FL 34787-8915

Mailing address

17000 Porter Rd
Winter Garden, FL 34787-8915
Phone (407) 648-5384

Other practice location 1

615 E Princeton St Ste 540
Orlando, FL 32803-1424
Phone (407) 303-8127

Other practice location 2

1745 E, FL-50 Suite B1
Clermont, FL 34711
Phone (352) 404-8428

Other names 1

NPPES NPI Registry
  • Shermaine Chloe Tajor Nepangue Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2023.

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1093478828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 PORTER RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347878915",
            "telephone_number": "407-648-5384",
            "fax_number": "321-841-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 PORTER RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347878915",
            "telephone_number": "407-648-5384",
            "fax_number": "321-841-6975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E Princeton St Ste 540",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031424",
            "country_code": "US",
            "telephone_number": "407-303-8127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1745 E, FL-50 Suite B1",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "34711",
            "country_code": "US",
            "telephone_number": "352-404-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "SHERMAINE",
        "middle_name": "CHLOE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016076",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11016076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERMAINE CHLOE",
            "last_name": "NEPANGUE",
            "middle_name": "TAJOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.