Individual provider Active NPI

Hector Dejesus Rocha, ARNP

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1255873063
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9242433 Issued in FL
Practice address
11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone
(407) 876-2273
Fax
(407) 347-4450
NPI assigned
Nov 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 ARNP9242433 FL Primary

Addresses

Primary practice location

11600 Lakeside Village LN
Windermere, FL 34786-7024

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 876-2273

Other practice location 1

5308 S John Young Pkwy
Ste 200
Orlando, FL 32839-7362
Phone (407) 703-7884

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
I20201028001001 FL Practitioner - Nurse Practitioner 3476963737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

11600 Lakeside Village LN
Windermere, FL 34786-7024
Phone (770) 312-5226

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

2901 Park Pond Way
Kissimmee, FL 34741-7661
Phone (770) 312-5226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9242433FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

11600 Lakeside Village Ln
Windermere, FL 34786
Phone (407) 876-2273

Interoperability endpoints

  • Direct secure messaging: hector.rocha@pmv-fl.direct.office.nextgen.com
  • Direct secure messaging: hector.rocha.1@8042.direct.athenahealth.com

Organizations & group practices 1

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1255873063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 LAKESIDE VILLAGE LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867024",
            "telephone_number": "407-876-2273",
            "fax_number": "407-347-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5308 S John Young Pkwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328397362",
            "country_code": "US",
            "telephone_number": "407-703-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "HECTOR",
        "middle_name": "DEJESUS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9242433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.