Patricia Cantillo-Kodzis, ARNP

Key facts

NPI: 1295089019
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: ARNP1556182 (FL)
Practice address: 107 Chatsworth CT
Winter Springs, FL 32708-4943
Phone: (407) 234-7354
NPI assigned: Oct 31, 2012
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Bird & Thornton PA Neurology Physician · Maitland, FL · NPI 1457567711

Medicare reassignment Care Compare group NPD FL
Florida Hospital Medical Group Inc Family Medicine Physician · Orlando, FL · NPI 1225034234

Medicare reassignment NPD FL
Florida Hospital Medical Group Inc Prosthetic/Orthotic Supplier · Minneola, FL · NPI 1285591545

NPD

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Adventist Health System-Sunbelt, Inc General Acute Care Hospital · Orlando, FL · NPI 1306938071

Care Compare affiliation Hospital
Adventist Health System-Sunbelt, Inc Clinical Medical Laboratory · Orlando, FL · NPI 1801569728

Care Compare affiliation Hospital
Memorial Hospital-West Volusia Inc General Acute Care Hospital · Deland, FL · NPI 1649367269

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Bird and Thornton PA (4 clinicians)

Practice addresses (Care Compare)

557 N Wymore Rd
Suite 202
Maitland, FL 32751-4200
Phone (407) 855-1073

Hospital & facility affiliations

Adventhealth Orlando Hospital · Orlando, FL · CCN 100007
Adventhealth Deland Hospital · Deland, FL · CCN 100045

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150903002893	FL	Practitioner - Nurse Practitioner	3274761986	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles (3 of 5)

Organization	Status	New patients
Florida Hospital Medical Group Inc	Current since Feb 19, 2018	Accepting new patients
Florida Hospital Medical Group Inc	Current since Feb 19, 2018	Accepting new patients
Bird & Thornton PA	Current since Jun 21, 2015	Accepting new patients

Locations

557 N Wymore Rd
Ste 202
Maitland, FL 32751
Phone (407) 646-7466

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Networks

Freedom Health HMO Network
Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	ARNP1556182	FL	Yes

Addresses

Primary practice location

107 Chatsworth CT
Winter Springs, FL 32708-4943

Mailing address

107 Chatsworth CT
Winter Springs, FL 32708-4943
Phone (407) 234-7354

Other providers in Winter Springs, FL

All providers in Winter Springs, FL · Adult Health Nurse Practitioner in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.