Individual provider Active NPI

Hilesca T Hidalgo, APRN

  • Family Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1376158246
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009035 Issued in FL
Practice address
6536 Stadium Dr Ste G
Zephyrhills, FL 33542-7575
Phone
(813) 501-5445
Fax
(447) 200-2033
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11009035 FL
Family Nurse Practitioner 363LF0000X 11009035 FL Primary

Addresses

Primary practice location

6536 Stadium Dr Ste G
Zephyrhills, FL 33542-7575

Mailing address

6536 Stadium Dr Ste G
Zephyrhills, FL 33542-7575
Phone (813) 501-5445

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
I20201016001228 FL Practitioner - Nurse Practitioner 1355761164 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009035FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Infectious Diseases Inc Single Specialty CurrentSince Jan 5, 2026 Accepting new patients
Gulf Coast Infectious Disease Single Specialty Past Accepting new patients

Locations

8354 N Davis Hwy
Pensacola, FL 32514
Phone (850) 450-4865

2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755

Organizations & group practices 2

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1376158246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 STADIUM DR STE G",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427575",
            "telephone_number": "813-501-5445",
            "fax_number": "447-200-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 STADIUM DR STE G",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427575",
            "telephone_number": "813-501-5445",
            "fax_number": "447-200-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "HILESCA",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11009035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.