Individual provider Active NPI

Amarilys Roque Roque Baz

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1215503305
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013393 Issued in FL
Practice address
121 S Orange Ave
Orlando, FL 32801-3221
Phone
(407) 556-5726
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2021

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 APRN11013393 FL Primary

Addresses

Primary practice location

121 S Orange Ave
Orlando, FL 32801-3221

Mailing address

8507 Dawn Dr
Orlando, FL 32809-7923
Phone (407) 556-5726

Other practice location 1

8507 Dawn Dr
Orlando, FL 32809-7923
Phone (407) 556-5726

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
I20211129000547 FL Practitioner - Nurse Practitioner 7113317504 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
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Epilepsy Center IncGroup PAC ID 0749440410, 13 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2881 Delaney Ave
Suite a
Orlando, FL 32806-5411
Phone (407) 704-8510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11013393FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Epilepsy Center Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

821 E Oak St
Kissimmee, FL 34744
Phone (407) 652-6000

2881 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 652-6000

226 W Michigan St
Ste A
Orlando, FL 32806
Phone (407) 704-8380

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: orlandoepilepsycenterinc.amarilysroquebaz@139230.advancedmd-direct.com

Organizations & group practices 1

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": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1215503305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 DAWN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097923",
            "telephone_number": "407-556-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013221",
            "telephone_number": "407-556-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8507 Dawn Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097923",
            "country_code": "US",
            "telephone_number": "407-556-5726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUE BAZ",
        "first_name": "AMARILYS",
        "middle_name": "ROQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.