Individual provider Active NPI

Oldine Lyncia Demelien, RN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1497106868
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028219 Issued in FL
Practice address
726 S Tampa Ave
Orlando, FL 32805-3646
Phone
(407) 246-1788
NPI assigned
Jun 28, 2016
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11028219 FL Primary
Registered Nurse 163W00000X RN9365996 FL

Addresses

Primary practice location

726 S Tampa Ave
Orlando, FL 32805-3646

Mailing address

1424 Dunn Cove Dr
Apopka, FL 32703-1650
Phone (407) 924-1850

Other practice location 1

9430 Turkey Lake Rd Ste 206
Orlando, FL 32819-8015
Phone (407) 345-0988

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
I20231108000635 FL Practitioner - Nurse Practitioner 4880041177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

9430 Turkey Lake Rd
Suite 206
Orlando, FL 32819-8015
Phone (407) 345-0988

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9365996FLMDRegistered Nurse
APRN11028219FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Feb 26, 2024 Accepting new patients
Gastro Health LLC Current Accepting new patients
Gastro Health, LLC CurrentSince Feb 26, 2024 Accepting new patients

Locations

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

9430 Turkey Lake Rd
Ste 206
Orlando, FL 32819
Phone (407) 297-3626

Networks

  • Freedom Health HMO Network

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1497106868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 DUNN COVE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031650",
            "telephone_number": "407-924-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S TAMPA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053646",
            "telephone_number": "407-246-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Turkey Lake Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198015",
            "country_code": "US",
            "telephone_number": "407-345-0988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMELIEN",
        "first_name": "OLDINE",
        "middle_name": "LYNCIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028219",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9365996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.