Paul Gagarin Colmenares Rodriguez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09231243 Issued in FL

Practice address

10090 Madison Banks St
Orlando, FL 32827-6940

Phone

(407) 715-1683

NPI assigned

Sep 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osceola Surgical Associates LLCGroup PAC ID 0840366126, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: paul.colmenaresrodriguez@hca4.eclinicaldirectplus.com

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.

• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1578723540
  Medicare reassignment Care Compare group NPD
• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1700043585
  NPD (past)

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1447800164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 MADISON BANKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328276940",
            "telephone_number": "407-715-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 MADISON BANKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328276940",
            "telephone_number": "407-715-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMENARES RODRIGUEZ",
        "first_name": "PAUL",
        "middle_name": "GAGARIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-14",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN-9529942",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "AZ",
            "license": "16-743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F09231243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Collins
• Taylor Dessberg Collins
• Ashley Elizabeth Colman, ARNP
• Kylie Rayann Colman
• Colmedical Care LLC (Colmedical Care)
• Maria Angelica Colmenares, M.S.
• Sheryl Colombero, NNP
• Carlos H Colombo, MD
• Daniel T Colombo, MD
• Jessenia Colon Bones, PHD

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, 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 Oct 1, 2023; 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.