Individual provider Active NPI

Hetalben Bhatt

  • Acute Care Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1255089645
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11015865 Issued in FL
Practice address
3647 S Orlando Dr
Sanford, FL 32773-5611
Phone
(407) 541-0115
Fax
(407) 344-7910
NPI assigned
Mar 15, 2022
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11015865 FL Primary

Addresses

Primary practice location

3647 S Orlando Dr
Sanford, FL 32773-5611

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Other identifiers 1

IdentifierTypeStateIssuer
16418288OtherFLCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hetalben.bhatt.1@29601.direct.athenahealth.com Direct

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
I20220620002074 FL Practitioner - Nurse Practitioner 2769861830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

3647 S Orlando Dr
Sanford, FL 32773-5611
Phone (407) 541-0115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL JV PLLC Current Accepting new patients
Adventhealth Primary Care Network Inc CurrentSince Nov 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 18, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 18, 2022 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC CurrentSince Mar 3, 2025 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC CurrentSince Mar 3, 2025 Accepting new patients
Centerwell Senior Primary Care FL JV PLLC Past Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

10991 San Jose Blvd
#100
Jacksonville, FL 32223
Phone (904) 839-1263

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

3647 S Orlando Dr
Sanford, FL 32773
Phone (407) 541-0115

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1255089645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 S ORLANDO DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735611",
            "telephone_number": "407-541-0115",
            "fax_number": "407-344-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "HETALBEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11015865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16418288",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hetalben.bhatt.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3647 S Orlando Dr",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327735611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.