Individual provider Active NPI

Anjali Desai

  • Nurse Practitioner
  • Celebration, FL
National Provider Identifier
1306507702
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11017279 Issued in FL
Practice address
2954 Mallory Cir Ste 101
Celebration, FL 34747-1822
Phone
(321) 939-0222
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 APRN11017279 FL Primary

Addresses

Primary practice location

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822

Mailing address

2954 Mallory Cir Ste 101
Celebration, FL 34747-1822
Phone (321) 939-0222

Other identifiers 1

IdentifierTypeStateIssuer
129884900MedicaidFL

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
I20230323000251 FL Practitioner - Nurse Practitioner 2163896697 Reassigns benefits to 2 organizations

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
Celebration Orthopedic and Sports Medicine Institute Inc.Group PAC ID 6901851013, 20 clinicians

Practice addresses (Care Compare)

2954 Mallory Cir
Suite 101
Celebration, FL 34747-1822
Phone (321) 939-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017279FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Celebration Orthopedic and Sports Medicine Institute Inc CurrentSince Oct 10, 2025 Accepting new patients
Total Spine & Wellness CurrentSince Dec 1, 2024 Accepting new patients
Celebration Orthopedic and Sports Medicine Institute Inc CurrentSince Oct 10, 2025 Accepting new patients
Jodi Jakiel, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

2954 Mallory Cir
Ste 101
Kissimmee, FL 34747
Phone 3219390222120

2400 N Orange Blossom Trl
Ste 100
Kissimmee, FL 34744

709 S Harbor City Blvd
Ste 110
Melbourne, FL 32901
Phone (321) 499-4646

Organizations & group practices 6

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1306507702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 MALLORY CIR STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471822",
            "telephone_number": "321-939-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 MALLORY CIR STE 101",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471822",
            "telephone_number": "321-939-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ANJALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129884900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.