Osmar Alarcon Segura, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Port St Lucie, FL
NPI 1104536820 · NPPES record last updated Aug 1, 2026
Key facts
- NPI
- 1104536820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11023153 (FL)
- Practice address
- 1109 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5332 - Phone
- (772) 236-0277
- Fax
- (772) 218-2100
- NPI assigned
- Dec 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710001244 | FL | Practitioner - Nurse Practitioner | 9032554852 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023153 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023153 | FL | Yes |
Addresses
Primary practice location
1109 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5332
Mailing address
1109 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5332
Phone (954) 982-4340
Other providers in Port St Lucie, FL
- Sophia Ahmed
- Aiman Akel
- Beeta Akhavan
- Brian A Akrami
- Gasna Aladin
- Idalmis Alarcon
- Sonia Alarcon
- Vanessa R Albergo
- Alberts Manor, Inc.
- Ardella Alberts
All providers in Port St Lucie, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.