Active NPI
Bell Karen H Plaza Castelo
- Family Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11015902
- Practice address
- 4500 Pleasant Hill Rd Apt 806
Kissimmee, FL 34746-2724 - Phone
- (407) 944-9030
- NPI assigned
- Dec 28, 2006
- 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 | 11015902 | FL | Primary |
| General Practice Physician | 208D00000X | 16375 | PR |
Addresses
Primary practice location
4500 Pleasant Hill Rd Apt 806
Kissimmee, FL 34746-2724
Mailing address
4500 Pleasant Hill Rd Apt 806
Kissimmee, FL 34746-2724
Phone (079) 449-0304
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220215002149 | FL | Practitioner - Nurse Practitioner | 8820481880 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Pleasant Hill Rd
Kissimmee, FL 34746-2724
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16375 | PR | MD | General Practice Physician |
| 11015902 | FL | MD | Family Nurse Practitioner |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
4500 Pleasant Hill Rd
Kissimmee, FL 34746
Phone (407) 944-9030
4500 Pleasant Hill Rd
Apt 806
Kissimmee, FL 34746
Phone (407) 944-9030
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1275699142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PLEASANT HILL RD APT 806",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347462724",
"telephone_number": "079-449-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PLEASANT HILL RD APT 806",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347462724",
"telephone_number": "407-944-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAZA CASTELO",
"first_name": "BELL",
"middle_name": "KAREN H",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11015902",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16375",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.