Individual provider Active NPI

Yenesy Fillor Fernandez

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1447061395
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11037121 Issued in FL
Practice address
8726 W Waters Ave
Tampa, FL 33615-1714
Phone
(813) 712-1726
NPI assigned
Jan 17, 2025
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11037121 FL Primary

Addresses

Primary practice location

8726 W Waters Ave
Tampa, FL 33615-1714

Mailing address

8726 W Waters Ave
Tampa, FL 33615-1714
Phone (813) 726-1712

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
I20250409002679 FL Practitioner - Nurse Practitioner 9537683743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11037121FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc Current Accepting new patients
American Care of North Florida, Inc CurrentSince Mar 17, 2025 Accepting new patients
American Care of North Florida, Inc CurrentSince Mar 17, 2025 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

8726 W Waters Ave
Tampa, FL 33615
Phone (813) 712-1726

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1447061395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151714",
            "telephone_number": "813-726-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151714",
            "telephone_number": "813-712-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLOR FERNANDEZ",
        "first_name": "YENESY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.