Individual provider Active NPI

Emel D Sibaja Calderon, APRN, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1225809809
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
11030586 Issued in FL
Practice address
405 Lionel Way
Davenport, FL 33837-7811
Phone
(863) 353-1390
NPI assigned
Jan 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 11030586 FL Primary

Addresses

Primary practice location

405 Lionel Way
Davenport, FL 33837-7811

Mailing address

457 Adriel Ave
Winter Haven, FL 33880-5529
Phone (863) 608-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, IL, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240522002659 FL Practitioner - Nurse Practitioner 2264874288 Reassigns benefits to 1 organization
I20241108003674 OH Practitioner - Nurse Practitioner 2264874288 Reassigns benefits to 1 organization
I20250627003791 IL Practitioner - Nurse Practitioner 2264874288 Reassigns benefits to 1 organization
I20260216000653 MD Practitioner - Nurse Practitioner 2264874288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1340 Charles St
Suite 300
Rockford, IL 61104-2200
Phone (779) 696-8800

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000

3304 Guilford Ave
Baltimore, MD 21218-2829
Phone (410) 554-6740

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030586FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital Current Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Nov 1, 2024 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince Jun 9, 2025 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Mar 30, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2026 Accepting new patients
Swedishamerican Hospital CurrentSince Jun 9, 2025 Accepting new patients

Locations

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

11100 Euclid Ave
Cleveland Heights, OH 44106

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1225809809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 ADRIEL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805529",
            "telephone_number": "863-608-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LIONEL WAY",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377811",
            "telephone_number": "863-353-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBAJA CALDERON",
        "first_name": "EMEL",
        "middle_name": "D",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "11030586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.