Individual provider Active NPI

Neysa L Bartlett, D.O.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1235102260
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS17292 Issued in FL
Practice address
3718-3722 Avalon Park East Boulevard
Orlando, FL 32828-4805
Phone
(407) 518-1074
Fax
(407) 518-9056
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS17292 FL Primary

Addresses

Primary practice location

3718-3722 Avalon Park East Boulevard
Orlando, FL 32828-4805

Mailing address

3718-3722 Avalon Park East Boulevard
Orlando, FL 32828-4805
Phone (407) 518-1074

Other identifiers 4

IdentifierTypeStateIssuer
4390871MedicaidMI
5791690OtherMIAETNA
P95391OtherMIBLUE CHOICE & BCN
5130061OtherMIBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216001539 FL Practitioner - Obstetrics/Gynecology 5991990681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17292FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2021 Accepting new patients

Locations

1420 Celebration Blvd
Ste 309
Celebration, FL 34747

199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699

407 N Main St
Kissimmee, FL 34744
Phone (321) 250-9885

2801 SE 1st Ave
Ste 101
Ocala, FL 34471
Phone (352) 690-6300

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: neysa.bartlett.2@2183.direct.athenahealth.com

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1235102260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718-3722 AVALON PARK EAST BOULEVARD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284805",
            "telephone_number": "407-518-1074",
            "fax_number": "407-518-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718-3722 AVALON PARK EAST BOULEVARD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284805",
            "telephone_number": "407-518-1074",
            "fax_number": "407-518-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "NEYSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS17292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4390871",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5791690",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE & BCN",
            "identifier": "P95391",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5130061",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.