Individual provider Active NPI

Ernesto Hernandez Krepishov

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1396556486
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037157 Issued in FL
Practice address
661 E Altamonte Dr Ste 315
Altamonte Springs, FL 32701-5103
Phone
(407) 339-3002
Fax
(321) 397-5085
NPI assigned
Jan 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 APRN11037157 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr Ste 315
Altamonte Springs, FL 32701-5103

Mailing address

661 E Altamonte Dr Ste 315
Ste 315
Altamonte Springs, FL 32701-5103
Phone (407) 339-3002

Other practice location 1

1142 Kelton Ave
Ocoee, FL 34761-3175
Phone (407) 219-3620

Other practice location 2

3111 Citrus Tower Blvd
Clermont, FL 34711-6879
Phone (352) 243-6767

Other practice location 3

7758 Wallace Rd Ste J
Orlando, FL 32819-7218
Phone (407) 351-4328

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
I20260427000227 FL Practitioner - Nurse Practitioner 8022585181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 315
Altamonte Springs, FL 32701-5103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11037157FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma Specialists, PA CurrentSince Apr 1, 2026 Accepting new patients

Locations

661 E Altamonte Dr
Ste 315
Altamonte Springs, FL 32701
Phone (407) 339-3002

3111 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 242-9600

1142 Kelton Ave
Ocoee, FL 34761
Phone (407) 219-3620

7758 Wallace Rd
Ste J
Orlando, FL 32819
Phone (407) 351-4328

Organizations & group practices 1

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": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1396556486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 315",
            "address_2": "STE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-339-3002",
            "fax_number": "321-397-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR STE 315",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015103",
            "telephone_number": "407-339-3002",
            "fax_number": "321-397-5085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1142 Kelton Ave",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613175",
            "country_code": "US",
            "telephone_number": "407-219-3620",
            "fax_number": "407-347-7586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 Citrus Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116879",
            "country_code": "US",
            "telephone_number": "352-243-6767",
            "fax_number": "352-243-2255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7758 Wallace Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197218",
            "country_code": "US",
            "telephone_number": "407-351-4328",
            "fax_number": "407-351-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ KREPISHOV",
        "first_name": "ERNESTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.