Individual provider Active NPI

Esperanza Mercedes Garzon Campoverde, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1407530538
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025788 Issued in FL
Practice address
505 W Oak St
Kissimmee, FL 34741-4986
Phone
(407) 483-7777
NPI assigned
Jun 9, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 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 11025788 FL Primary

Addresses

Primary practice location

505 W Oak St
Kissimmee, FL 34741-4986

Mailing address

2931 Turnstone Run
Harmony, FL 34773-6159
Phone (407) 242-2536

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
I20231031003806 FL Practitioner - Nurse Practitioner 1759737489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

4555 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (407) 483-7777

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11025788FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Jul 17, 2023 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

505 W Oak St
Ste 102
Kissimmee, FL 34741
Phone (407) 483-7777

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

4555 Pleasant Hill Rd
Poinciana, FL 34759
Phone (407) 348-1780

3004 17th St
Saint Cloud, FL 34769
Phone (407) 556-3973

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: esperanza.garzon.campoverde.1@2183.direct.athenahealth.com

Organizations & group practices 2

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1407530538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 TURNSTONE RUN",
            "city": "HARMONY",
            "state": "FL",
            "postal_code": "347736159",
            "telephone_number": "407-242-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414986",
            "telephone_number": "407-483-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZON CAMPOVERDE",
        "first_name": "ESPERANZA",
        "middle_name": "MERCEDES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.