Ernesto Velazquez, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004384 Issued in FL

Practice address

865 Buenaventura Blvd
Kissimmee, FL 34743-8125

Phone

(321) 235-6230

NPI assigned

Oct 9, 2019

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keiler Heberto Moreno Rivero, P.aGroup PAC ID 6002153145, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEBFCA
• FHIR API: https://fhir4.healow.com/fhir/r4/FEAGBD

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.

• Keiler Heberto Moreno Rivero, P.a.

  dba Moreno's Internal Medicine

  • Internal Medicine Physician
  • Celebration, FL
  • NPI 1861974073
  Medicare reassignment Care Compare group NPD
• Vip Family Practice LLC

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1669725552
  Medicare reassignment NPD
• De Novo Wellness & Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kissimmee, FL
  • NPI 1669084018
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1255973434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 E GRANT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221666",
            "telephone_number": "321-235-6230",
            "fax_number": "321-235-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438125",
            "telephone_number": "321-235-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "ERNESTO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorymar Velazquez-Fines
• Adriana Carolina Velazquez
• Anaura Velazquez, DDS
• Antonio J Velazquez
• Edgardo Velazquez, M ED.
• Jennifer Velazquez
• Sonia Velazquez, MD
• Zuleyka Velazquez, LMHC
• Francheska Michelle Velez Melendez, COTA
• Grace Jenny Velez Pagan, MD

• Family Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.