Individual provider Active NPI

Osmer Luis Puerto Arias, APRN

  • Family Nurse Practitioner
  • Weeki Wachee, FL
National Provider Identifier
1124725619
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023896 Issued in FL
Practice address
10045 Cortez Blvd Ste 154
Weeki Wachee, FL 34613-6332
Phone
(352) 596-6114
Fax
(352) 596-0784
NPI assigned
Feb 14, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11023896 FL
Family Nurse Practitioner 363LF0000X APRN11023896 FL Primary

Addresses

Primary practice location

10045 Cortez Blvd Ste 154
Weeki Wachee, FL 34613-6332

Mailing address

10045 Cortez Blvd Ste 154
Weeki Wachee, FL 34613-6332
Phone (352) 596-6114

Other practice location 1

12587 Spring Hill Dr
Spring Hill, FL 34609-5068
Phone (352) 600-7960

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
I20230314001769 FL Practitioner - Nurse Practitioner 7911371919 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023896FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lindo Medical Care LLC CurrentSince Mar 1, 2023 Accepting new patients
Access Health Care LLC PastSince Mar 1, 2023 Accepting new patients

Locations

12587 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 596-6114

10045 Cortez Blvd
Ste 154
Weeki Wachee, FL 34613
Phone (352) 596-6114

6463 Oregon Jay Rd
Weeki Wachee, FL 34613
Phone (352) 596-6114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1124725619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 CORTEZ BLVD STE 154",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136332",
            "telephone_number": "352-596-6114",
            "fax_number": "352-596-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 CORTEZ BLVD STE 154",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136332",
            "telephone_number": "352-596-6114",
            "fax_number": "352-596-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12587 Spring Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346095068",
            "country_code": "US",
            "telephone_number": "352-600-7960",
            "fax_number": "352-606-3932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUERTO ARIAS",
        "first_name": "OSMER",
        "middle_name": "LUIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.