Active NPI
Andrea Cecilia Alegria Roa
- Family Nurse Practitioner
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11022760
- 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.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
Hospital
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
Practice addresses (Care Compare)
623 Maitland Ave
Suite 201
Altamonte SPG, FL 32701-6823
Phone (407) 830-8661
Hospital & facility affiliations
- Adventhealth Orlando
- Orlando Health
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11022760 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Consultants PA | Current | 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
- aalegriaroa1656792@adventhealth.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11022760 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.