Individual provider Active NPI

Edwin Mejia Ortega, ARNP

  • Pediatric Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1164909149
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN9347812 Issued in FL
Practice address
60 W Gore St
Orlando, FL 32806-1141
Phone
(321) 841-3303
Fax
(321) 841-3305
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN9347812 FL Primary
Family Nurse Practitioner 363LF0000X ARNP9347812 FL

Addresses

Primary practice location

60 W Gore St
Orlando, FL 32806-1141

Mailing address

60 W Gore St
Orlando, FL 32806-1141
Phone (321) 841-3303

Other identifiers 1

IdentifierTypeStateIssuer
103335700MedicaidFL

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
I20190117000126 FL Practitioner - Nurse Practitioner 9335485093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9347812FLMDFamily Nurse Practitioner
APRN9347812FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jul 3, 2018 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jul 3, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients

Locations

1920 Don Wickham Dr
Ste 220
Clermont, FL 34711
Phone (321) 841-0903

392 Rinehart Rd
Ste 3090
Lake Mary, FL 32746
Phone (321) 841-2243

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

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

1224 Sligh Blvd
Ste A
Orlando, FL 32806
Phone (321) 841-0903

9430 Turkey Lake Rd
Ste 200A
Orlando, FL 32819
Phone (321) 842-5816

953 N Semoran Blvd
Orlando, FL 32807
Phone (407) 282-3615

12554 S John Young Pkwy
Ste 103
Orlando, FL 32837
Phone (407) 282-3615

Interoperability endpoints

  • Direct secure messaging: emejiaortega27805@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1164909149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061141",
            "telephone_number": "321-841-3303",
            "fax_number": "321-841-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061141",
            "telephone_number": "321-841-3303",
            "fax_number": "321-841-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA ORTEGA",
        "first_name": "EDWIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN9347812",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9347812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103335700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.