Individual provider Active NPI

Jeff Andrew Baldo Yepez, APRN

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
National Provider Identifier
1134004385
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039434 Issued in FL
Practice address
161 N Causeway Ste a
New Smyrna Beach, FL 32169-5328
Phone
(386) 424-1584
NPI assigned
Aug 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11039434 FL Primary

Addresses

Primary practice location

161 N Causeway Ste a
New Smyrna Beach, FL 32169-5328

Mailing address

2522 Golden Park LN
Tallahassee, FL 32303-3687
Phone (850) 559-4003

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
I20250917003156 FL Practitioner - Nurse Practitioner 3072017607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

161 N Causeway
Suite a
New Smyrna Beach, FL 32169-5328

161 N Causeway a
New Smyrna Beach, FL 32169-5328

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Volusia Medical Center LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

161 N Causeway
Ste A
New Smyrna Beach, FL 32169
Phone (386) 424-3320

3900 Clark Rd
Ste L2
Sarasota, FL 34233
Phone (941) 210-0248

Organizations & group practices 1

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1134004385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 GOLDEN PARK LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033687",
            "telephone_number": "850-559-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY STE A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695328",
            "telephone_number": "386-424-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPEZ",
        "first_name": "JEFF ANDREW",
        "middle_name": "BALDO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.