Individual provider Active NPI

Diane Camille Truley

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1437756566
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10200063 Issued in FL
Practice address
125 S Park Ave
Apopka, FL 32703-4254
Phone
(407) 886-1171
Fax
(407) 886-8386
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 F10200063 FL Primary

Addresses

Primary practice location

125 S Park Ave
Apopka, FL 32703-4254

Mailing address

125 S Park Ave
Apopka, FL 32703-4254
Phone (407) 886-1171

Other identifiers 1

IdentifierTypeStateIssuer
F10200063MedicaidFL

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
I20220524002432 FL Practitioner - Nurse Practitioner 3375920721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

202 N Park Ave
100 Optum Park Ave
Apopka, FL 32703-4148
Phone (407) 889-4711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10200063FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC CurrentSince Aug 1, 2024 Accepting new patients
Optumcare Florida, LLC CurrentSince Aug 1, 2024 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince Apr 25, 2022 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

125 S Park Ave
Apopka, FL 32703
Phone (407) 410-3200

202 N Park Ave
Ste 100
Apopka, FL 32703
Phone (407) 889-4711

202 N Park Ave
Apopka, FL 32703
Phone (407) 889-4711

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

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

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

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

Interoperability endpoints

  • Direct secure messaging: diane.truley@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1437756566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034254",
            "telephone_number": "407-886-1171",
            "fax_number": "407-886-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034254",
            "telephone_number": "407-886-1171",
            "fax_number": "407-886-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRULEY",
        "first_name": "DIANE",
        "middle_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10200063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F10200063",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.