Individual provider Active NPI

Jorge Perez Nazco, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1245097773
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030624 Issued in FL
Practice address
1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200
Phone
(239) 772-0111
NPI assigned
Mar 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 11030624 FL Primary

Addresses

Primary practice location

1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200

Mailing address

911 Nicholas Pkwy W
Cape Coral, FL 33991-2562
Phone (239) 240-2136

Other practice location 1

911 Nicholas Pkwy W
Cape Coral, FL 33991-2562
Phone (239) 240-2136

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
I20240716002085 FL Practitioner - Nurse Practitioner 1254876154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M and H Med Housecalls LLCGroup PAC ID 2961750146, 24 clinicians

Practice addresses (Care Compare)

1407 Viscaya Pkwy
Suite 2
Cape Coral, FL 33990-6200
Phone (407) 647-2346

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030624FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Mississippi-TCG, Inc. CurrentSince Nov 20, 2024 Accepting new patients
M & H Med Housecalls, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

305 E Oak St
Apopka, FL 32703
Phone (407) 880-2265

1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111

701 Lake Port Blvd
Leesburg, FL 34748
Phone (352) 728-3366

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

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.

Hospital & facility affiliations 6

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1245097773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 NICHOLAS PKWY W",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912562",
            "telephone_number": "239-240-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 VISCAYA PKWY STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906200",
            "telephone_number": "239-772-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Nicholas Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339912562",
            "country_code": "US",
            "telephone_number": "239-240-2136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ NAZCO",
        "first_name": "JORGE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.