Individual provider Active NPI

Emiliana Perez, MSN ARNP

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1386661973
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3127132 Issued in FL
Practice address
10508 Gibsonton Dr
Riverview, FL 33578-5434
Phone
(954) 983-9191
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 ARNP3127132 FL Primary

Addresses

Primary practice location

10508 Gibsonton Dr
Riverview, FL 33578-5434

Mailing address

8828 Bliss Road
Gibsonton, FL 33534
Phone (813) 677-2757

Other practice location 1

221 Hobbs St
Suite 101
Tampa, FL 33619-8068
Phone (813) 657-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, NM3 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
I20140219001941 FL Practitioner - Nurse Practitioner 7810127719
I20230824002475 ME Practitioner - Nurse Practitioner 7810127719 Reassigns benefits to 1 organization
I20240205002156 NM Practitioner - Nurse Practitioner 7810127719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Jul 21, 2023 Accepting new patients
Central Maine Medical Center CurrentSince Jul 21, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 1, 2024 Accepting new patients
Central Maine Medical Center Current Accepting new patients
Consult Care Inc PastSince Nov 7, 1994 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

789 Minot Ave
Auburn, ME 04210
Phone (207) 795-8475

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 8

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1386661973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 BLISS ROAD",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "33534",
            "telephone_number": "813-677-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 GIBSONTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785434",
            "telephone_number": "954-983-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Hobbs St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336198068",
            "country_code": "US",
            "telephone_number": "813-657-3200",
            "fax_number": "813-657-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EMILIANA",
        "name_prefix": "Ms.",
        "credential": "MSN ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3127132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.