Individual provider Active NPI

Daineris Crespo Velazco, ARNP

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1487330429
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025648 Issued in FL
Practice address
3369 Pine Ridge Rd Unit 203
Naples, FL 34109-3932
Phone
(239) 631-2662
Fax
(239) 631-8597
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9551981 FL
Family Nurse Practitioner 363LF0000X 11025648 FL Primary

Addresses

Primary practice location

3369 Pine Ridge Rd Unit 203
Naples, FL 34109-3932

Mailing address

325 SE 23Rd Ave Apt 23
Cape Coral, FL 33990-1442
Phone (786) 346-8201

Other practice location 1

325 SE 23rd Ave Apt 23
Cape Coral, FL 33990-1442
Phone (786) 346-8201

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
I20231103001868 FL Practitioner - Nurse Practitioner 1951758598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Axel Health LLCGroup PAC ID 2062737885, 11 clinicians

Practice addresses (Care Compare)

3369 Pine Ridge Rd
Unit 203
Naples, FL 34109-3932
Phone (239) 631-2662

3501 Hancock Bridge Pkwy
Fort Myers, FL 33903-7126
Phone (239) 208-6648

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9551981FLMDRegistered Nurse
11025648FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jun 14, 2024 Accepting new patients
Axel Health LLC CurrentSince Aug 15, 2023 Accepting new patients
Axel Health Primary Care LLC CurrentSince Feb 20, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 14, 2024 Accepting new patients
Carmona Medical Care Inc CurrentSince Feb 16, 2024 Accepting new patients

Locations

2307 Bolado Pkwy
Cape Coral, FL 33990
Phone (239) 424-8122

14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3369 Pine Ridge Rd
Unit 203
Naples, FL 34109
Phone (239) 298-1285

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daineris.crespo.velazco.1@4290.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1487330429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SE 23RD AVE APT 23",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901442",
            "telephone_number": "786-346-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 PINE RIDGE RD UNIT 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093932",
            "telephone_number": "239-631-2662",
            "fax_number": "239-631-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 SE 23rd Ave Apt 23",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339901442",
            "country_code": "US",
            "telephone_number": "786-346-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPO VELAZCO",
        "first_name": "DAINERIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9551981",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.