Kelvin Dupera, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11012550 Issued in FL

Practice address

308 NW 5TH Ave
Okeechobee, FL 34972-2568

Phone

(863) 261-8354

Fax

(863) 638-5637

NPI assigned

Apr 28, 2021

Last updated

Jun 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Health Haven LLCGroup PAC ID 7911212634, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Haven LLC

  • Community/Behavioral Health Agency
  • Okeechobee, FL
  • NPI 1265824858

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Impower, Inc

  • Community/Behavioral Health Agency
  • Longwood, FL
  • NPI 1104910868

  Single Specialty

  Medicare reassignment NPD
• One Day at a Time Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Miami, FL
  • NPI 1952218810
  Authorized official Same address or phone

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1285216234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPERA",
        "first_name": "KELVIN",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11012550",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9413104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis J Diaz, DMD
• Paulette L. Disinger, A.R.N.P.
• Doctors Clinic Family Health Center, LLC (Stanley H Sweda, MD)
• Dr. Peter Stephens Inc
• Jean M Drewski, BS
• Donna Lynn Durand, COTA
• Jennifer Egger, PHARMD
• Jennifer Emley, LMHC
• Benjamin Charles Epstein, D.O., M.A.
• Espiritu & Espiritu M.D's, P.a.

• Psychiatric/Mental Health Nurse Practitioner in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.