NPIMap

Individual provider Active NPI

Cindy Lynn Perdue, FNP-BC

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1366103236
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014335 Issued in FL
Practice address
2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone
(407) 426-4800
Fax
(407) 426-4820
NPI assigned
Jan 4, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 11014335 FL Primary

Addresses

Primary practice location

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442

Mailing address

6376 E Rector St
Inverness, FL 34452-8052
Phone (352) 789-4674

Other practice location 1

6376 E Rector St
Inverness, FL 34452-8052
Phone (352) 789-4674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126002981 FL Practitioner - Nurse Practitioner 0244466118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014335FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Health Wound Care LLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Excellence Health Care at Home, LLC Single Specialty CurrentSince Dec 28, 2024 Accepting new patients
Excellence Health, LLC Single Specialty CurrentSince Oct 24, 2022 Accepting new patients
Village Home Care of the Palm Beaches, LLC Current Accepting new patients
Village Home Care, LLC Current Accepting new patients
Excellence Health Medical Clinics LLC Single Specialty CurrentSince Dec 26, 2024 Accepting new patients

Locations

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1366103236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 E RECTOR ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344528052",
            "telephone_number": "352-789-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "407-426-4800",
            "fax_number": "407-426-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6376 E Rector St",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344528052",
            "country_code": "US",
            "telephone_number": "352-789-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "CINDY",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.