Individual provider Active NPI

Heather Renee Teel

  • Family Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1205647161
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037226 Issued in FL
Practice address
2200 Fowler Grove Blvd Ste 300
Winter Garden, FL 34787
Phone
(407) 347-0751
Fax
(407) 347-0752
NPI assigned
Jan 18, 2025
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 11037226 FL Primary

Addresses

Primary practice location

2200 Fowler Grove Blvd Ste 300
Winter Garden, FL 34787

Mailing address

2200 Fowler Grove Blvd Ste 300
Winter Garden, FL 34787
Phone (407) 347-0751

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
I20250505000892 FL Practitioner - Nurse Practitioner 9234656208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2200 Fowler Grove Blvd
Suite 300
Winter Garden, FL 34787-5597
Phone (844) 407-4070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037226FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tecs FL PA CurrentSince Jul 1, 2025 Accepting new patients
Revive Transitional Care and in Home Primary Medicine, LLC CurrentSince Mar 28, 2025 Accepting new patients

Locations

4875 Cason Cove Dr
Orlando, FL 32811
Phone (386) 344-1538

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1205647161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 300",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-347-0751",
            "fax_number": "407-347-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOWLER GROVE BLVD STE 300",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-347-0751",
            "fax_number": "407-347-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.