Individual provider Active NPI

Cherez Pouncey, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1407324700
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000052 Issued in FL
Practice address
8726 Pisa Dr Apt 727
Orlando, FL 32810-2137
Phone
(850) 544-9866
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 11000052 FL Primary

Addresses

Primary practice location

8726 Pisa Dr Apt 727
Orlando, FL 32810-2137

Mailing address

8726 Pisa Dr Apt 727
Orlando, FL 32810-2137
Phone (850) 544-9866

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
I20191104003021 FL Practitioner - Nurse Practitioner 5991037343 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Center of Jacksonville, LLCGroup PAC ID 8628303948, 4 clinicians
MPP Infusion Center of Orlando, LLCGroup PAC ID 9931436896, 3 clinicians
MPP Infusion Center of Port St Lucie LLCGroup PAC ID 2264761964, 4 clinicians
MPP Infusion Center of Kissimmee, LLCGroup PAC ID 3577995653, 3 clinicians

Practice addresses (Care Compare)

11512 Lake Mead Ave
Suite 302 303
Jacksonville, FL 32256-9680
Phone (904) 456-8734

1573 W Fairbanks Ave
Suite 200
Winter Park, FL 32789-4679
Phone (407) 794-5859

525 NW Lake Whitney PL
Suite 101
Port St Lucie, FL 34986-1605
Phone (772) 272-0010

607 Oak Commons Blvd
Kissimmee, FL 34741-4213
Phone (407) 305-8527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000052FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Center of Jacksonville, LLC CurrentSince Jul 30, 2020 Accepting new patients
House Call M.D.'S L.L.C. CurrentSince Sep 3, 2019 Accepting new patients
MPP Infusion Center of Orlando, LLC CurrentSince Apr 15, 2020 Accepting new patients
MPP Infusion Center of Port St Lucie LLC CurrentSince Jul 30, 2020 Accepting new patients

Locations

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

1626 Cole Blvd
Ste 225
Lakewood, CO 80401

11512 Lake Mead Ave
Ste 302303
Jacksonville, FL 32256
Phone (720) 465-5030

2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800

525 NW Lake Whitney Pl
Ste 101
Port St Lucie, FL 34986
Phone (772) 272-0010

1573 W Fairbanks Ave
Ste 200
Winter Park, FL 32789
Phone (407) 637-8300

Organizations & group practices 5

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1407324700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 PISA DR APT 727",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102137",
            "telephone_number": "850-544-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 PISA DR APT 727",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102137",
            "telephone_number": "850-544-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNCEY",
        "first_name": "CHEREZ",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.