Individual provider Active NPI

Luisa Vega

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1558772657
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2016026064 Issued in FL
Practice address
8416 Tidal Breeze Dr
Riverview, FL 33569-4722
Phone
(813) 403-4423
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP 9318236 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2016026064 FL Primary

Addresses

Primary practice location

8416 Tidal Breeze Dr
Riverview, FL 33569-4722

Mailing address

PO Box 575
Riverview, FL 33568-0575
Phone (813) 403-4423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140619001666 FL Practitioner - Nurse Practitioner 6406070184 Reassigns benefits to 2 organizations
I20210816001397 NY Practitioner - Nurse Practitioner 6406070184

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Luisa Vega DNP LLCGroup PAC ID 3577872605, 83 clinicians

Practice addresses (Care Compare)

1044 E Brandon Blvd
Suite 1And2
Brandon, FL 33511-5509
Phone (813) 403-4423

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9318236FLMDGerontology Nurse Practitioner
2016026064FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Luisa Vega DNP LLC Psychiatric/Mental Health CurrentSince Sep 1, 2015 Accepting new patients
My Next Chapter LLC Psychiatric/Mental Health CurrentSince Feb 22, 2020 Accepting new patients
Option Center, Inc PastSince Sep 1, 2015 Accepting new patients
Dr Luisa Vega DNP LLC Past Accepting new patients

Locations

1044 E Brandon Blvd
Brandon, FL 33511
Phone (813) 403-4423

1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423

1044 E Brandon Blvd
Ste 1
Brandon, FL 33511
Phone (813) 789-9905

525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1558772657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335680575",
            "telephone_number": "813-403-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 TIDAL BREEZE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335694722",
            "telephone_number": "813-403-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "LUISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9318236",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2016026064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.