Active NPI
Elena Timofti, APRN
- Adult Health Nurse Practitioner
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11032970
- Practice address
- 521 W State Road 434 Ste 307&308
Longwood, FL 32750-4984 - Phone
- (321) 841-6444
- Fax
- (321) 842-1955
- NPI assigned
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11032970 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11032970 | FL | Primary |
Addresses
Primary practice location
521 W State Road 434 Ste 307&308
Longwood, FL 32750-4984
Mailing address
521 W State Road 434 Ste 307&308
Longwood, FL 32750-4984
Phone (321) 841-6444
Other practice location 1
521 W Sr 434
Longwood, FL 32750-4984
Phone (321) 841-6444
Other names 1
- Elena Pruglo
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
521 W State Rd
434 Suite 307 and Suite 308
Longwood, FL 32750-5166
Phone (321) 841-6444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11032970 | FL | MD | Adult Health Nurse Practitioner |
| 11032970 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
521 W State Road 434
Ste 307308
Longwood, FL 32750
521 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
521 W State Road 434
Ste 307
Longwood, FL 32750
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1275370512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W STATE ROAD 434 STE 307&308",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504984",
"telephone_number": "321-841-6444",
"fax_number": "321-842-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W STATE ROAD 434 STE 307&308",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504984",
"telephone_number": "321-841-6444",
"fax_number": "321-842-1955"
}
],
"practiceLocations": [
{
"address_1": "521 W SR 434",
"address_purpose": "LOCATION",
"city": "Longwood",
"state": "FL",
"postal_code": "327504984",
"country_code": "US",
"telephone_number": "321-841-6444",
"fax_number": "407-650-1307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIMOFTI",
"first_name": "ELENA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-12",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11032970",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11032970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELENA",
"last_name": "PRUGLO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.