Individual provider Active NPI

Linet Nyaribo, M.D

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1407389711
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
163092 Issued in FL
Practice address
2902 17TH St
Saint Cloud, FL 34769-6009
Phone
(407) 957-0090
Fax
(407) 957-1113
NPI assigned
Apr 5, 2017
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 163092 FL Primary

Addresses

Primary practice location

2902 17TH St
Saint Cloud, FL 34769-6009

Mailing address

2902 17TH St
Saint Cloud, FL 34769-6009
Phone (407) 957-0090

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003003799 FL Practitioner - Family Practice 6800165416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1621 W 1St St
Wellmed at West Sanford
Sanford, FL 32771-1617
Phone (407) 322-4431

2902 17TH St
Saint Cloud, FL 34769-6009
Phone (407) 957-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
163092FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Sep 24, 2023 Accepting new patients
Optumcare Florida, LLC CurrentSince Sep 24, 2023 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2902 17th St
Saint Cloud, FL 34769
Phone (407) 498-0461

1621 W 1st St
Sanford, FL 32771
Phone (407) 322-4431

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: linet.nyaribo@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1407389711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696009",
            "telephone_number": "407-957-0090",
            "fax_number": "407-957-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 17TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696009",
            "telephone_number": "407-957-0090",
            "fax_number": "407-957-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYARIBO",
        "first_name": "LINET",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "163092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.