Individual provider Active NPI

Amauris Valera, APRN

  • Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1295541639
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11036723 Issued in FL
Practice address
1551 Cordgrass Way
Lakeland, FL 33813-2715
Phone
(561) 502-3506
NPI assigned
Dec 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11036723 FL Primary

Addresses

Primary practice location

1551 Cordgrass Way
Lakeland, FL 33813-2715

Mailing address

1551 Cordgrass Way
Lakeland, FL 33813-2715
Phone (561) 502-3506

Other names 1

  • Amauris Modesto Valera Sales Former name

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
I20250312003416 FL Practitioner - Nurse Practitioner 9537680079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

1010 Carpenters Way
Lakeland, FL 33809-3926
Phone (863) 815-0488

1620 Helvenston St SE
Live Oak, FL 32064-3474
Phone (386) 362-7860

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

2020 W Lake Parker Dr
Lakeland, FL 33805-5005
Phone (863) 682-7580

2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (941) 624-5966

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

7225 Boca del Mar Dr
Boca Raton, FL 33433-5517
Phone (561) 362-9644

800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11036723FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Mar 3, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1295541639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CORDGRASS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132715",
            "telephone_number": "561-502-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 CORDGRASS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132715",
            "telephone_number": "561-502-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERA",
        "first_name": "AMAURIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11036723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAURIS",
            "last_name": "VALERA SALES",
            "middle_name": "MODESTO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.