Individual provider Active NPI

Gerardo Francisco Olivera, M.D.

  • Psychiatry Physician
  • Stuart, FL
National Provider Identifier
1245250505
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME57053 Issued in FL
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

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
062323700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LAWNWOOD.COCVW.FLK@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050930000654 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 2567497258 Reassigns benefits to 2 organizations
I20220803002447 CT Practitioner - Psychiatry 2567497258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Learning to Achieve Wellness IncGroup PAC ID 9234514464, 48 clinicians

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 Home health agency, Boca Raton, FL, CCN 109462

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60649761WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sebring Psych Med Inc Current Accepting new patients
Learning to Achieve Wellness Inc CurrentSince Jan 28, 2026 Accepting new patients
Prospect Manchester Hospital, Inc. Psychiatry CurrentSince Nov 8, 2023 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Mindpath Health Florida, PLLC Psychiatry PastSince Apr 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.