Individual provider Active NPI

Andrea San Martin, ARNP FNP-BC

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1205209988
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9326361 Issued in FL
Practice address
3840 E Sr 436 Ste 1000
Apopka, FL 32703-6041
Phone
(074) 871-3462
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9326361 FL Primary

Addresses

Primary practice location

3840 E Sr 436 Ste 1000
Apopka, FL 32703-6041

Mailing address

3012 Nancy St
Orlando, FL 32806-1633
Phone (305) 282-4727

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
I20151223000143 FL Practitioner - Nurse Practitioner 2062713779 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as group
Quality
78.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9326361FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot of Orlando Hsi Urgent Care LLC Emergency Medicine CurrentSince Jan 10, 2021 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 1, 2021 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Observation Medicine Specialists LLC Past Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

3840 State Road 436
Ste 1000
Apopka, FL 32703
Phone (407) 478-3202

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

575 W State Road 434
Longwood, FL 32750
Phone (321) 841-4514

11898 Lake Underhill Rd
Orlando, FL 32825
Phone (321) 841-4540

92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

10155 Dowden Rd
Ste 301
Orlando, FL 32832

2323 S Orange Ave
Ste A
Orlando, FL 32806
Phone (407) 418-9999

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1205209988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 NANCY ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061633",
            "telephone_number": "305-282-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 E SR 436 STE 1000",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036041",
            "telephone_number": "074-871-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN MARTIN",
        "first_name": "ANDREA",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9326361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.