Individual provider Active NPI

Patrice M Muse, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1457649030
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN2521942 Issued in FL
Practice address
55 W Gore St
Orlando, FL 32806-1140
Phone
(321) 841-5469
Fax
(321) 841-7470
NPI assigned
Jul 15, 2011
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN2521942 FL Primary
Family Nurse Practitioner 363LF0000X ARNP2521942 FL

Addresses

Primary practice location

55 W Gore St
Orlando, FL 32806-1140

Mailing address

55 W Gore St
Orlando, FL 32806-1140
Phone (321) 841-5469

Other identifiers 1

IdentifierTypeStateIssuer
003909800MedicaidFL

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
I20110810000257 FL Practitioner - Nurse Practitioner 4486823366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN2521942FLMDAdult Health Nurse Practitioner
ARNP2521942FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients

Locations

515 W State Road 434
Ste 101
Longwood, FL 32750
Phone (407) 767-5843

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

55 W Gore St
Orlando, FL 32806
Phone (321) 841-5469

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1457649030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061140",
            "telephone_number": "321-841-5469",
            "fax_number": "321-841-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061140",
            "telephone_number": "321-841-5469",
            "fax_number": "321-841-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "PATRICE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2521942",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2521942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003909800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.