Active NPI
Hector Dejesus Rocha, ARNP
- Family Nurse Practitioner
- Windermere, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9242433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9242433 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | 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
- hector.rocha@pmv-fl.direct.office.nextgen.com
- 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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.