Samuel Busa Realista, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9223946 Issued in FL

Practice address

2501 N Orange Ave Ste 537N
Orlando, FL 32804

Phone

(407) 894-4693

NPI assigned

Nov 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Central Florida, P.a.Group PAC ID 2567359375, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Nephrology Associates of Central Florida, P.a.

  • Nephrology Physician
  • Longwood, FL
  • NPI 1346297173
  Medicare reassignment Care Compare group NPD
• Central Florida Kidney Specialists Inc

  • Nephrology Physician
  • Orlando, FL
  • NPI 1346954138
  Medicare reassignment NPD
• Hasan Shahab, M.D., P.a

  • Nephrology Physician
  • Orlando, FL
  • NPI 1003144197
  Medicare reassignment NPD
• Kidney & Hypertension Specialists of Central Florida

  • Nephrology Physician
  • Clermont, FL
  • NPI 1215912167
  Medicare reassignment NPD
• Mid Florida Kidney and Hypertension Care PL

  • Specialist
  • Altamonte Springs, FL
  • NPI 1326196908
  Medicare reassignment NPD
• Nephrology Partners of Central Florida LLC

  • Nephrology Physician
  • Orlando, FL
  • NPI 1144686585
  Medicare reassignment NPD
• Real Health America, LLC

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1831459585
  NPD (past) Authorized official
• American Nephrology Associates. PA

  • Specialist
  • Orlando, FL
  • NPI 1720167513
  NPD (past)
• Renal Access of Central Florida LLC

  • Nephrology Physician
  • Altamonte Springs, FL
  • NPI 1790009165
  NPD (past)
• Take Care Health Services PA

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1689865818
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1194052811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S ORLANDO AVE STE C",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894870",
            "telephone_number": "407-894-4693",
            "fax_number": "407-261-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 537N",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-894-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 Falcon Point Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417547",
            "country_code": "US",
            "telephone_number": "407-616-1111",
            "fax_number": "407-297-8409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REALISTA",
        "first_name": "SAMUEL",
        "middle_name": "BUSA",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9223946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Direct Care PLLC
• Real Imaging Inc
• Real People Therapy LLC
• Marisa Reali, FNP-BC
• Realign Counseling & Consulting
• Reality Cheq, Inc
• Xiaoyin Wang Ream, PMHNP-BC, FNP-C
• Eric Hagen Reams
• Amber Reamy
• Katherine Amanda Reasor, MS, CCC-SLP

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, 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 Oct 9, 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.

Verify at the official NPI Registry.