Jacqueline Azelvandre, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4390 Issued in FL

Practice address

301 S Milwee St
Longwood, FL 32750-4127

Phone

(407) 339-1060

Fax

(407) 339-1081

NPI assigned

Nov 4, 2005

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Azelvandre DO and Associates LLC

  • Family Medicine Physician
  • Longwood, FL
  • NPI 1760681118
  Medicare reassignment Authorized official
• Florida Foot & Ankle Group PA

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
  • NPI 1508183732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Home Health and Hospice Inc

  • Home Health Agency
  • Altamonte Springs, FL
  • NPI 1518419977
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1639160831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MILWEE ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504127",
            "telephone_number": "407-339-1060",
            "fax_number": "407-339-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MILWEE ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504127",
            "telephone_number": "407-339-1060",
            "fax_number": "407-339-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZELVANDRE",
        "first_name": "JACQUELINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Raymond Audley, M.D.
• Aurora Center for Autism
• Aurumhealth Mobile Medicine
• Jannelys Aviles Aguilar, MD
• Azelvandre DO and Associates LLC
• Caitlyn Aznar
• Babble Babble and Beyond
• Kalyan K Bachu, MD
• Yurien Baez Grillo
• Brooke Elizabeth Bailey

• Family Medicine Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.