Individual provider Active NPI

Lymarie M. Vilella, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Groveland, FL
National Provider Identifier
1205280484
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11014131 Issued in FL
Practice address
128 Prairie Falcon Dr
Groveland, FL 34736-8005
Phone
(787) 409-3993
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11014131 FL Primary

Addresses

Primary practice location

128 Prairie Falcon Dr
Groveland, FL 34736-8005

Mailing address

128 Prairie Falcon Dr
Groveland, FL 34736-8005
Phone (787) 409-3993

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
I20231025003995 FL Practitioner - Nurse Practitioner 5991151094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Practice addresses (Care Compare)

2345 Sand Lake Rd
Suite 200
Orlando, FL 32809-9140
Phone (407) 851-5121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014131FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vilella NP Service, LLC Family Current Accepting new patients
Orlando Psychiatric Associates Inc. CurrentSince Sep 27, 2023 Accepting new patients

Locations

1193 Blackwood Ave
Ocoee, FL 34761
Phone (407) 292-2156

2345 Sand Lake Rd
Ste 200
Orlando, FL 32809
Phone (407) 329-6599

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1205280484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 PRAIRIE FALCON DR",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368005",
            "telephone_number": "787-409-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 PRAIRIE FALCON DR",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368005",
            "telephone_number": "787-409-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILELLA",
        "first_name": "LYMARIE",
        "middle_name": "M.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11014131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

Verify at the official NPI Registry.