Individual provider Active NPI

Juan Sebastian Bedoya, APRN

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1487357091
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026090 Issued in FL
Practice address
4793 Esedra CT Apt 304
Lake Worth, FL 33467-5087
Phone
(561) 853-4317
NPI assigned
Mar 23, 2023
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 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 APRN11026090 FL Primary

Addresses

Primary practice location

4793 Esedra CT Apt 304
Lake Worth, FL 33467-5087

Mailing address

4793 Esedra CT Apt 304
Lake Worth, FL 33467-5087
Phone (561) 853-4317

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
I20230614000344 FL Practitioner - Nurse Practitioner 5890153407 Reassigns benefits to 2 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
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Aug 21, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Aug 21, 2023 Accepting new patients
Dr GS Urgent Care LLC CurrentSince May 8, 2023 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

14701 S Military Trl
Delray Beach, FL 33484
Phone (561) 865-4702

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1487357091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4793 ESEDRA CT APT 304",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675087",
            "telephone_number": "561-853-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4793 ESEDRA CT APT 304",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675087",
            "telephone_number": "561-853-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA",
        "first_name": "JUAN",
        "middle_name": "SEBASTIAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.