Individual provider Active NPI

Froilan Ross Barcena Pantalla, APRN, FNP-C

  • Adult Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1558955724
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11011873 Issued in FL
Practice address
10000 W Colonial Dr Ste 482&484
Ocoee, FL 34761-3400
Phone
(321) 841-6444
Fax
(407) 650-1307
NPI assigned
Feb 26, 2021
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 APRN11011873 FL Primary
Family Nurse Practitioner 363LF0000X APRN11011873 FL

Addresses

Primary practice location

10000 W Colonial Dr Ste 482&484
Ocoee, FL 34761-3400

Mailing address

10000 W Colonial Dr Ste 482&484
Ocoee, FL 34761-3400
Phone (321) 841-6444

Other practice location 1

1050 Old Camp Rd Ste 270
The Villages, FL 32162-1762
Phone (352) 633-1966

Other practice location 2

410 Celebration Pl Ste 402
Celebration, FL 34747-5436
Phone (407) 303-4080

Other identifiers 1

IdentifierTypeStateIssuer
112193200MedicaidFL

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
I20211129001281 FL Practitioner - Nurse Practitioner 5890185201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 484
Ocoee, FL 34761-3436
Phone (321) 841-6444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11011873FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 17, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 17, 2023 Accepting new patients
Florida Diabetes Thyroid & Endocrine Center PL CurrentSince Apr 20, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Lake Cardiovascular Diagnostic Center L.L.C PastSince Nov 18, 2021 Accepting new patients

Locations

410 Celebration Pl
Ste 206
Kissimmee, FL 34747
Phone (321) 939-2001

110 N Orlando Ave
Ste 14
Maitland, FL 32751
Phone (407) 335-4045

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

10000 W Colonial Dr
Ste 482484
Ocoee, FL 34761

10000 W Colonial Dr
Ste 484
Ocoee, FL 34761
Phone (407) 296-1933

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7485 Sandlake Commons Blvd
Orlando, FL 32819
Phone (407) 293-1122

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECIGDD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1558955724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 482&484",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613400",
            "telephone_number": "321-841-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 482&484",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613400",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Old Camp Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321621762",
            "country_code": "US",
            "telephone_number": "352-633-1966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Celebration Pl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475436",
            "country_code": "US",
            "telephone_number": "407-303-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTALLA",
        "first_name": "FROILAN ROSS",
        "middle_name": "BARCENA",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11011873",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112193200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.