Individual provider Active NPI

Akshay Patel, APRN

  • Family Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1396394607
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004029 Issued in FL
Practice address
295 Patterson Rd Ste B
Haines City, FL 33844-6247
Phone
(863) 421-4400
Fax
(863) 421-4402
NPI assigned
Sep 9, 2019
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 11004029 FL Primary

Addresses

Primary practice location

295 Patterson Rd Ste B
Haines City, FL 33844-6247

Mailing address

295 Patterson Rd Ste B
Haines City, FL 33844-6247
Phone (863) 421-4400

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
I20220520000130 FL Practitioner - Nurse Practitioner 3173900743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004029FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Feb 12, 2022 Accepting new patients
Primary Care Physicians of Sanford LLC PastSince Apr 27, 2010 Accepting new patients
Florida Medical Associates LLC PastSince Apr 1, 2021 Accepting new patients
Sebring Square Medical Group, LLC. PastSince Apr 1, 2021 Accepting new patients
Vitas Solutions Inc PastSince Sep 1, 2019 Accepting new patients
Vitas Healthcare Corporation of Florida PastSince Sep 1, 2019 Accepting new patients

Locations

295 Patterson Rd
Haines City, FL 33844
Phone (863) 422-4338

295 Patterson Rd
Ste B
Haines City, FL 33844
Phone (863) 421-4400

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731

309 W 1st St
Sanford, FL 32771
Phone (407) 324-5035

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: akshay.patel.1@32578.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1396394607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PATTERSON RD STE B",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446247",
            "telephone_number": "863-421-4400",
            "fax_number": "863-421-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PATTERSON RD STE B",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446247",
            "telephone_number": "863-421-4400",
            "fax_number": "863-421-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AKSHAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.