Individual provider Active NPI

Felicia Depina

  • Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1184077034
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R217243 Issued in MD
Practice address
2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone
(407) 426-4800
Fax
(407) 426-4820
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R217243 MD Primary

Addresses

Primary practice location

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442

Mailing address

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone (407) 426-4809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161115002533 MD Practitioner - Nurse Practitioner 4789963794 Reassigns benefits to 1 organization
I20211115000002 DC Practitioner - Nurse Practitioner 4789963794 Reassigns benefits to 1 organization
I20230201002653 FL Practitioner - Nurse Practitioner 4789963794

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Medical Group PC CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Medicine, LLC CurrentSince Aug 3, 2021 Accepting new patients

Locations

3059 Solomons Island Rd
#F2
Edgewater, MD 21037
Phone (410) 956-3394

9500 Medical Center Dr
Ste 105
Upper Marlboro, MD 20774
Phone (202) 220-8929

Organizations & group practices 2

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": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1184077034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "407-426-4809",
            "fax_number": "407-426-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "407-426-4800",
            "fax_number": "407-426-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPINA",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R217243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.