Active NPI
Gloria Ann Pena, ARNP
- Nurse Practitioner
- Belleview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1473752
- Practice address
- 6262 SE 121St PL
Belleview, FL 34420-5215 - Phone
- (800) 385-1347
- NPI assigned
- Jul 11, 2007
- Last updated
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1473752 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | ARNP1473752 | FL |
Addresses
Primary practice location
6262 SE 121St PL
Belleview, FL 34420-5215
Mailing address
7970 SW 62ND CT
Ocala, FL 34476-5532
Phone (954) 913-1111
Other practice location 1
7970 SW 62nd Ct
Ocala, FL 34476-5532
Phone (954) 913-1111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6262 SE 121 Place
Belleview, FL 34420-5215
Phone (800) 385-1247
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1473752 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Health Providers,Apn.House Calls,LLC. | Nurse Practitioner | Current | Accepting new patients |
| Eladio Dieguez MD PA | Past | Accepting new patients | |
| Florida Medical Associates LLC | Past | Accepting new patients | |
| Advantage Wellness Services | Nurse Practitioner | Past | Accepting new patients |
| Rural Medical Associates Inc | Past | Accepting new patients |
Locations
6262 SE 121st Pl
Belleview, FL 34420
Phone (352) 415-2510
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Belleview, FL
- NPI 1912317843
-
- Nurse Practitioner
- Gainesville, FL
- NPI 1568785384
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1154489474
-
dba Wildwood Medical Center
- Rural Health Clinic/Center
- Wildwood, FL
- NPI 1770570806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1437358496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7970 SW 62ND CT",
"city": "OCALA",
"state": "FL",
"postal_code": "344765532",
"telephone_number": "954-913-1111",
"fax_number": "352-415-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 SE 121ST PL",
"city": "BELLEVIEW",
"state": "FL",
"postal_code": "344205215",
"telephone_number": "800-385-1347"
}
],
"practiceLocations": [
{
"address_1": "7970 SW 62nd Ct",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344765532",
"country_code": "US",
"telephone_number": "954-913-1111",
"fax_number": "352-854-1189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENA",
"first_name": "GLORIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1473752",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1473752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleview, FL
- Emily Ann Pearce
- Pediatric Behavioral Health Associates, Inc.
- Pediatric Behavioral Health Associates, Inc. (Pediatric Behavioral Health Associates of Marion County)
- Pediatric Behavioral Health Associates, Inc.
- Rosa Pedreschi
- Luis Perez
- Michael J Pettella, DC
- Pinard Home Health Services, LLC (Home Advantage Health Care)
- Jennifer Pishotta, DC
- Molly Ann Poucher, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.