Glenn Hernandez Derit, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010307 Issued in FL

Practice address

2201 Nicollett Way
Leesburg, FL 34748-2945

Phone

(352) 360-8635

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CA2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of California a Medical CorporationGroup PAC ID 5799854303, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment Care Compare group NPD
• Maxihealth Homecare Specialists LLC

  • Home Health Agency
  • Leesburg, FL
  • NPI 1578956819
  NPD Authorized official
• Lowell F. Clark MD PA

  • Internal Medicine Physician
  • Bushnell, FL
  • NPI 1629278882
  Medicare reassignment
• American Current Care of California, a Medical Corporation

  dba Concentra urgent Care

  • Urgent Care Clinic/Center
  • Chatsworth, CA
  • NPI 1396211801
  NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1619571726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NICOLLETT WAY",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482945",
            "telephone_number": "352-360-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NICOLLETT WAY",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482945",
            "telephone_number": "352-360-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIT",
        "first_name": "GLENN",
        "middle_name": "HERNANDEZ",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto R Delgado, M.D.
• Magaly Delgado, PSY.D.
• Demossis Haven
• Lorenza Marie Denby, RPH
• Denly N, Inc. Dna Savannah Manor
• Rachelle Desir
• Tina Marie Deveau, MS, LMHC
• Shireen Dhanani, D.M.D.
• Diagnostic Outpatient Centers II Inc (Docs II)
• Diagnostic Pathology Associates PA

• Family Nurse Practitioner in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.