Individual provider Active NPI

Julio Peraza Morejon, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1356060248
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021355 Issued in FL
Practice address
12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone
(407) 730-9911
Fax
(407) 778-1479
NPI assigned
Aug 24, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021355 FL Primary

Addresses

Primary practice location

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802

Mailing address

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone (407) 730-9911

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725003577 FL Practitioner - Family Practice 0042756090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip Health Assistance LLCGroup PAC ID 3678962008, 4 clinicians

Practice addresses (Care Compare)

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone (407) 730-9911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11021355FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Health Assistance LLC CurrentSince May 11, 2024 Accepting new patients

Locations

12139 S Apopka Vineland Rd
Orlando, FL 32836
Phone (407) 535-1313

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1356060248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-730-9911",
            "fax_number": "407-778-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-730-9911",
            "fax_number": "407-778-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAZA MOREJON",
        "first_name": "JULIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.