Individual provider Active NPI

Andrea Cecilia Alegria Roa

  • Family Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1336835503
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022760 Issued in FL
Practice address
1061 Medical Center Dr Ste 300
Orange City, FL 32763-8227
Phone
(386) 917-7620
Fax
(386) 917-7621
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

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.

Hospital & facility affiliations 3

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

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
Digestive Disease Consultants PA 14 clinicians

Practice addresses (Care Compare)

623 Maitland Ave
Suite 201
Altamonte SPG, FL 32701-6823
Phone (407) 830-8661

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230831004778 FL Practitioner - Nurse Practitioner 1658734025 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022760FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Consultants PA CurrentSince Jun 17, 2024 Accepting new patients

Locations

623 Maitland Ave
Ste 201
Altamonte Springs, FL 32701
Phone (407) 830-8661

623 Maitland Ave
Ste 2200
Altamonte Springs, FL 32701
Phone (407) 830-8661

3300 W Lake Mary Blvd
Ste 330
Lake Mary, FL 32746
Phone (407) 580-7393

1410 W Broadway St
Ste 102
Oviedo, FL 32765
Phone (407) 366-2612

Interoperability endpoints

  • Direct secure messaging: aalegriaroa1656792@adventhealth.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022760 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1061 Medical Center Dr Ste 300
Orange City, FL 32763-8227

Mailing address

PO Box 947313
Atlanta, GA 30394-7313
Phone (240) 264-0759

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2023.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1336835503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947313",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947313",
            "telephone_number": "240-264-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR STE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638227",
            "telephone_number": "386-917-7620",
            "fax_number": "386-917-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEGRIA ROA",
        "first_name": "ANDREA",
        "middle_name": "CECILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.