Individual provider Active NPI

Gema Vanegas, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1265086805
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001828 Issued in FL
Practice address
5867 Okeechobee Blvd
West Palm Beach, FL 33417-4300
Phone
(561) 432-5849
Fax
(561) 283-0677
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001828 FL Primary
Dental Hygienist 124Q00000X DH20090 FL

Addresses

Primary practice location

5867 Okeechobee Blvd
West Palm Beach, FL 33417-4300

Mailing address

2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849

Other identifiers 1

IdentifierTypeStateIssuer
APRN11001828OtherFLSTATE LICENSE

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
I20200522000044 FL Practitioner - Nurse Practitioner 9133540453 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DH20090FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Community Health Inc CurrentSince Jan 4, 2021 Accepting new patients
Florida Department of Health CurrentSince Mar 1, 2020 Accepting new patients
Florida Department of Health CurrentSince Mar 1, 2020 Accepting new patients
Treasure Coast Community Health Inc CurrentSince Jan 4, 2021 Accepting new patients

Locations

12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828

1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908

115 K D Revell Rd
Wauchula, FL 33873
Phone (863) 473-6073

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1265086805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067608",
            "telephone_number": "561-432-5849",
            "fax_number": "561-283-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5867 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174300",
            "telephone_number": "561-432-5849",
            "fax_number": "561-283-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "GEMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001828",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH20090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN11001828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.