Individual provider Active NPI

Yudeisy Puig, APRN

  • Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1508695024
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11034171 Issued in FL
Practice address
219 NW 14TH PL
Cape Coral, FL 33993-7716
Phone
(786) 578-9903
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11034171 FL Primary

Addresses

Primary practice location

219 NW 14TH PL
Cape Coral, FL 33993-7716

Mailing address

219 NW 14TH PL
Cape Coral, FL 33993-7716

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
I20241024002965 FL Practitioner - Nurse Practitioner 3375076656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034171FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Florida LLC Nurse Practitioner CurrentSince Jun 11, 2025 Accepting new patients
At Home MD CurrentSince Apr 1, 2025 Accepting new patients
Millennium Physician Group LLC Past Accepting new patients

Locations

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

Interoperability endpoints

  • Direct secure messaging: yudeisy.puig.1@22854.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508695024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NW 14TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 NW 14TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937716",
            "telephone_number": "786-578-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "YUDEISY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.