Individual provider Active NPI

Jordan Leigh Galili, APRN

  • Family Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1104662519
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034042 Issued in FL
Practice address
410 Celebration PL Ste 200
Celebration, FL 34747-5432
Phone
(407) 303-4220
Fax
(407) 303-4676
NPI assigned
Jul 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 9522404 FL
Family Nurse Practitioner 363LF0000X APRN11034042 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 200
Celebration, FL 34747-5432

Mailing address

10134 Brandon Cir
Orlando, FL 32836-3717
Phone (407) 620-1000

Other practice location 1

6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone (407) 620-0000

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
I20241029003886 FL Practitioner - Nurse Practitioner 5496288474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nova Southeastern College of Osteo Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

410 Celebration PL
Celebration, FL 34747-5432

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9522404FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Suntree Endocrinology Single Specialty Current Accepting new patients
Florida Hospital Medical Group Inc Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Suntree Internal Medicine, LLC. Single Specialty CurrentSince Aug 20, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

410 Celebration Pl
Ste 200
Kissimmee, FL 34747
Phone (407) 303-4220

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

6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 2

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": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1104662519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10134 BRANDON CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328363717",
            "telephone_number": "407-620-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 200",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475432",
            "telephone_number": "407-303-4220",
            "fax_number": "407-303-4676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6619 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402006",
            "country_code": "US",
            "telephone_number": "407-620-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALILI",
        "first_name": "JORDAN",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9522404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.