Individual provider Active NPI

Nargiza A Ayupova, DNP

  • Primary Care Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1356796858
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9300404 Issued in FL
Practice address
598 Sterthaus Dr
Ormond Beach, FL 32174-5128
Phone
(386) 886-4433
Fax
(949) 864-3080
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN9300404 FL Primary

Addresses

Primary practice location

598 Sterthaus Dr
Ormond Beach, FL 32174-5128

Mailing address

203 Ashwood CT
Ormond Beach, FL 32174-1501
Phone (386) 237-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170201001377 FL Practitioner - Nurse Practitioner 5092098806 Reassigns benefits to 1 organization
I20250624002013 NY Practitioner - Nurse Practitioner 5092098806 Reassigns benefits to 1 organization
I20260202001774 SC Practitioner - Nurse Practitioner 5092098806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Star Medical Office PCGroup PAC ID 8820248016, 11 clinicians

Practice addresses (Care Compare)

10407 Metropolitan Ave
Forest Hills, NY 11375-6735
Phone (718) 576-4652

203 Ashwood CT
Ormond Beach, FL 32174-1501
Phone (386) 237-2268

Hospital & facility affiliations

  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9300404FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holy City Healthcare Consultants, LLC CurrentSince Dec 21, 2025 Accepting new patients
Five Star Medical Office PC CurrentSince Jun 2, 2025 Accepting new patients
Nargiza Ayupova PLLC Family CurrentSince Jun 13, 2025 Accepting new patients
Careathome Medical Practice Family CurrentSince Jun 2, 2025 Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2829
New York, NY 10016

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

Interoperability endpoints

  • Direct secure messaging: nargiza.ayupova.1@32895.direct.athenahealth.com

Organizations & group practices 5

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1356796858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ASHWOOD CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741501",
            "telephone_number": "386-237-2268",
            "fax_number": "949-864-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 STERTHAUS DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745128",
            "telephone_number": "386-886-4433",
            "fax_number": "949-864-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUPOVA",
        "first_name": "NARGIZA",
        "middle_name": "A",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9300404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.