Individual provider Active NPI

Cecilia Velasco

  • Nurse Practitioner
  • Ruskin, FL
National Provider Identifier
1619541109
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11010601 Issued in FL
Practice address
10228 Count Fleet Dr
Ruskin, FL 33573-6773
Phone
(941) 539-8869
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X RN9299813 FL
Nurse Practitioner 363L00000X APRN11010601 FL Primary

Addresses

Primary practice location

10228 Count Fleet Dr
Ruskin, FL 33573-6773

Mailing address

10228 Count Fleet Dr
Ruskin, FL 33573-6773
Phone (941) 539-8869

Other practice location 1

6500 S Dixie Hwy Ste C
West Palm Beach, FL 33405-4416
Phone (239) 533-5770

Other practice location 2

5111 Ehrlich Rd Ste 110
Tampa, FL 33624-2075
Phone (239) 533-5770

Other practice location 3

8039 Cooper Creek Blvd Ste 106
University Park, FL 34201-3007
Phone (239) 533-5770

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
I20220616003107 FL Practitioner - Nurse Practitioner 1557740800 Reassigns benefits to 1 organization

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
Eventus Infusion LLCGroup PAC ID 2163856550, 5 clinicians

Practice addresses (Care Compare)

11300 Lindbergh Blvd
Suite 107a
Fort Myers, FL 33913-8827
Phone (239) 204-5984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9299813FLMDInfusion Therapy Registered Nurse
APRN11010601FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Infusion LLC CurrentSince May 10, 2022 Accepting new patients
Mosaic Infusion Solutions LLC Past Accepting new patients

Locations

6912 S Quentin St
Ste 50
Englewood, CO 80112

11300 Lindbergh Blvd
Ste 107A
Fort Myers, FL 33913
Phone (239) 204-5984

3447 Pine Ridge Rd
Ste 101
Naples, FL 34109
Phone (239) 206-2880

5058 Conway Rd
Orlando, FL 32812
Phone (407) 401-2690

7710 NW 71st Ct
Ste 205
Tamarac, FL 33321
Phone (954) 376-7330

5111 Ehrlich Rd
Ste 110
Tampa, FL 33624
Phone (239) 533-5770

8039 Cooper Creek Blvd
Ste 106
University Park, FL 34201
Phone (239) 533-5770

6500 S Dixie Hwy
Ste C
West Palm Beach, FL 33405
Phone (239) 533-5770

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1619541109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10228 COUNT FLEET DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736773",
            "telephone_number": "941-539-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 COUNT FLEET DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736773",
            "telephone_number": "941-539-8869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 S Dixie Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334054416",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5111 Ehrlich Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242075",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8039 Cooper Creek Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "University Park",
            "state": "FL",
            "postal_code": "342013007",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "RN9299813",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.