Individual provider Active NPI

Emma Laura EMS, ARNP

  • Gerontology Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1548614647
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9367507 Issued in FL
Practice address
1630 Mason Ave Ste C
Daytona Beach, FL 32117
Phone
(386) 238-9064
Fax
(386) 238-9063
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 ARNP9367507 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9367507 FL Primary

Addresses

Primary practice location

1630 Mason Ave Ste C
Daytona Beach, FL 32117

Mailing address

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Other practice location 1

161 N Causeway Ste A
New Smyrna Beach, FL 32169
Phone (386) 424-1584 ext. 38642

Other practice location 2

3951 S Nova Rd
Suite 3
Port Orange, FL 32127-9270
Phone (386) 256-1444

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
I20161105000226 FL Practitioner - Nurse Practitioner 2365720711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Hospital & facility affiliations

  • Towers Home Care Home health agency, Orlando, FL, CCN 107510
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9367507FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Health, LLC CurrentSince Sep 1, 2019 Accepting new patients
Dermatology on the Spot, LLC PastSince Aug 27, 2016 Accepting new patients

Locations

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1548614647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 N Causeway Ste A",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "32169",
            "country_code": "US",
            "telephone_number": "386-424-1584 x38642",
            "fax_number": "386-410-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3951 S Nova Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321279270",
            "country_code": "US",
            "telephone_number": "386-256-1444",
            "fax_number": "321-400-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMS",
        "first_name": "EMMA",
        "middle_name": "LAURA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9367507",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9367507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.