Edgardo Mejias Chacon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11032256 Issued in FL

Practice address

13926 Henson Cir
Tampa, FL 33625-3121

Phone

(813) 240-8377

NPI assigned

Apr 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• E&E Medical Services LLC

  • Primary Care Clinic/Center
  • Tampa, FL
  • NPI 1780485979
  Medicare reassignment NPD

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1174378061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13926 HENSON CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253121",
            "telephone_number": "813-240-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13926 HENSON CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253121",
            "telephone_number": "813-240-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIAS CHACON",
        "first_name": "EDGARDO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mejia
• Dora Maria Mejia, IN HOME SUPPORT
• Fabiola I Mejia
• Gil Emmanuel A Mejia, MD
• Paul Mejia, MS, OTR/L
• Livet Mejias Estevez
• Ailys Mejias Garcia, RBT
• Elora Nicole Mejias
• Lizette M Mejias
• Mejor Salud Puerto Rico LLC

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.