Jeila Stephanie Pujols

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010916 Issued in FL

Practice address

130 Medical Center Ave
Sebring, FL 33870-5463

Phone

(863) 385-2606

NPI assigned

Sep 22, 2020

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MP Primary Care ServicesGroup PAC ID 7618357880, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60407
• Direct secure messaging: jeilapujols@orionhealthwellness.kareodirect.com

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.

• MP Primary Care Services

  • Nephrology Physician
  • Avon Park, FL
  • NPI 1609512656

  Family

  Medicare reassignment Care Compare group NPD
• Fabio Oliveros & Associates PA

  • Nephrology Physician
  • Sebring, FL
  • NPI 1003147158
  Medicare reassignment NPD
• Depression and Mental Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Avon Park, FL
  • NPI 1356220677
  NPD
• Mata Health LLC

  dba Orion Kidney Services

  • Primary Care Clinic/Center
  • Sebring, FL
  • NPI 1932867488
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1417563602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705463",
            "telephone_number": "863-385-2606",
            "fax_number": "863-385-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705463",
            "telephone_number": "863-385-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUJOLS",
        "first_name": "JEILA",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Prohaska, PHARMD
• Psychology and Paws LLC
• Psychology and Wellness by Sullivan Consulting, LLC
• Publix Super Markets Inc (Publix Pharmacy #1517)
• Publix Super Markets Inc (Publix Pharmacy #1347)
• Pulmonary Solutions Inc
• Shahnaz Punjani, M.D
• Leon Furl Puterbaugh
• Afreen Quadri, MD
• Nancy Kay Quinn, OT/L

• Family Nurse Practitioner in Sebring, FL
• Providers in Sebring, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.