Individual provider Active NPI

Edwin Martinez, APRN, FNP-C

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1245802610
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11014210 Issued in FL
Practice address
5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643
Phone
(407) 750-8894
Fax
(407) 352-2547
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11014210 FL
Nurse Practitioner 363L00000X APRN11014210 FL Primary

Addresses

Primary practice location

5900 Lake Ellenor Dr Ste 700
Orlando, FL 32809-4643

Mailing address

5900 Lake Ellenor Dr
Ste 700
Orlando, FL 32809-4643
Phone (407) 750-8894

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
I20220308002297 FL Practitioner - Nurse Practitioner 9931593993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Kidney Specialists IncGroup PAC ID 6608233705, 38 clinicians
Astha HealthGroup PAC ID 9931589892, 30 clinicians

Practice addresses (Care Compare)

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 816-5700

804 Emmett St
Kissimmee, FL 34741-5434
Phone (407) 785-1111

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014210FLMDFamily Medicine Physician
APRN11014210FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Kidney Specialists Inc CurrentSince Jan 21, 2026 Accepting new patients

Locations

1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221

1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

27 E 13th St
Saint Cloud, FL 34769

Organizations & group practices 3

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1245802610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR",
            "address_2": "STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-750-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 LAKE ELLENOR DR STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094643",
            "telephone_number": "407-750-8894",
            "fax_number": "407-352-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11014210",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.