Active NPI
Edwin Mejia Ortega, ARNP
- Pediatric Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN9347812
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103335700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9347812 | FL | MD | Family Nurse Practitioner |
| APRN9347812 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Advanced Physical Medicine Inc | Current | Accepting new patients | |
| Advanced Physical Medicine Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | 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
- 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.
-
- General Practice Physician
- Orlando, FL
- NPI 1255690921
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1245919299
-
- Multi-Specialty Clinic/Center
- Orlando, FL
- NPI 1790232866
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.