Individual provider Active NPI

Camelia A Acevedo, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1366083107
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004319 Issued in FL
Practice address
2621 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7354
Phone
(813) 344-3948
Fax
(833) 518-1987
NPI assigned
Oct 2, 2019
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 APRN11004319 FL Primary

Addresses

Primary practice location

2621 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7354

Mailing address

2621 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7354
Phone (813) 344-3948

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
I20200128002732 FL Practitioner - Nurse Practitioner 6406282128 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004319FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic, LLC CurrentSince Nov 2, 2020 Accepting new patients
Halifax Healthcare Systems Inc Family Medicine CurrentSince Dec 22, 2019 Accepting new patients
Florida Medical Clinic LLC CurrentSince Nov 2, 2020 Accepting new patients
Balance Women's Virtual Wellness LLC Family CurrentSince Jan 1, 2026 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

2090 Saxon Blvd
Ste B
Deltona, FL 32725
Phone (386) 425-3300

1165 Dunlawton Ave
Ste 105
Port Orange, FL 32127
Phone (386) 425-4787

15260 Amberly Dr
Tampa, FL 33647
Phone (813) 769-2778

2621 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 344-3948

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25586/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1366083107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447354",
            "telephone_number": "813-344-3948",
            "fax_number": "833-518-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447354",
            "telephone_number": "813-344-3948",
            "fax_number": "833-518-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "CAMELIA",
        "middle_name": "A",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.