Active NPI
Gerardo Francisco Olivera, M.D.
- Psychiatry Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME57053
- Practice address
- 865 SE Monterey Commons Blvd
Stuart, FL 34996-3337 - Phone
- (772) 266-4713
- Fax
- (772) 888-9082
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD60649761 | WA | |
| Psychiatry Physician | 2084P0800X | ME57053 | FL | Primary |
Addresses
Primary practice location
865 SE Monterey Commons Blvd
Stuart, FL 34996-3337
Mailing address
865 SE Monterey Commons Blvd
Stuart, FL 34996-3337
Phone (772) 266-4713
Other practice location 1
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222
Other practice location 2
451 SW Bethany Dr Ste 103
Port Saint Lucie, FL 34986-1964
Phone (772) 301-1354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062323700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LAWNWOOD.COCVW.FLK@CCDA.HCADIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
413 W Robertson St
Suite B
Brandon, FL 33511-5014
Phone (813) 999-1516
865 SE Monterey Commons Blvd
Stuart, FL 34996-3337
Phone (772) 266-4713
Hospital & facility affiliations
- All About You Home Health Agency Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60649761 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebring Psych Med Inc | Current | Accepting new patients | |
| Learning to Achieve Wellness Inc | Current | Accepting new patients | |
| Prospect Manchester Hospital, Inc. | Psychiatry | Current | Accepting new patients |
| Eastern Connecticut Medical Professionals Foundation, Inc | Past | Accepting new patients | |
| Mindpath Health Florida, PLLC | Psychiatry | Past | Accepting new patients |
Locations
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
1753 US Highway 27 N
Avon Park, FL 33825
Phone (863) 452-1325
Networks
- Freedom Health HMO Network
Interoperability endpoints
- lawnwood.cocvw.flk@ccda.hcadirect.net
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brandon, FL
- NPI 1033849575
-
- Community/Behavioral Health Agency
- Stuart, FL
- NPI 1700203601
-
- Community/Behavioral Health Agency
- Avon Park, FL
- NPI 1073763470
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1316394638
-
- General Acute Care Hospital
- Vernon, CT
- NPI 1205283538
-
- Psychiatric Hospital Unit
- Manchester, CT
- NPI 1225484751
Psychiatry
-
- Psychiatry Physician
- Coral Springs, FL
- NPI 1467467266
-
- Specialist
- South Windsor, CT
- NPI 1497864516
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1700067683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1245250505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 SE MONTEREY COMMONS BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349963337",
"telephone_number": "772-266-4713",
"fax_number": "772-888-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 SE MONTEREY COMMONS BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349963337",
"telephone_number": "772-266-4713",
"fax_number": "772-888-9082"
}
],
"practiceLocations": [
{
"address_1": "71 Haynes St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060404131",
"country_code": "US",
"telephone_number": "860-646-1222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "451 SW Bethany Dr Ste 103",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349861964",
"country_code": "US",
"telephone_number": "772-301-1354",
"fax_number": "772-281-2703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVERA",
"first_name": "GERARDO",
"middle_name": "FRANCISCO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60649761",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME57053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062323700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LAWNWOOD.COCVW.FLK@CCDA.HCADIRECT.NET",
"affiliation": "N",
"address_1": "865 SE Monterey Commons Blvd",
"city": "Stuart",
"state": "FL",
"country_code": "US",
"postal_code": "349963337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.