Individual provider Active NPI

Jacquelin Louis, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1639952922
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11025951 Issued in FL
Practice address
7236 Stonerock Cir
Orlando, FL 32819-8000
Phone
(321) 841-6444
Fax
(407) 650-1307
NPI assigned
Aug 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025951 FL
Adult Health Nurse Practitioner 363LA2200X APRN11025951 FL Primary

Addresses

Primary practice location

7236 Stonerock Cir
Orlando, FL 32819-8000

Mailing address

7236 Stonerock Cir
Orlando, FL 32819-8000
Phone (321) 841-6444

Other practice location 1

52 W Underwood St
Orlando, FL 32806-1110
Phone (321) 841-5111

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
I20231007000588 FL Practitioner - Nurse Practitioner 3173978368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

2000 NW 87TH Ave
Suite 101 102
Doral, FL 33172-2654
Phone (844) 665-4827

258 S Chickasaw TRL
Suite 310
Orlando, FL 32825-3501
Phone (844) 665-4827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025951FLMDAdult Health Nurse Practitioner
11025951FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Feb 22, 2025 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

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

7236 Stonerock Cir
Orlando, FL 32819
Phone (407) 354-1202

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

Interoperability endpoints

  • Direct secure messaging: jacquelin.louis@wwmp.eclinicaldirectplus.com

Organizations & group practices 3

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1639952922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7236 STONEROCK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "321-841-6444",
            "fax_number": "407-370-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 STONEROCK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "321-841-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "JACQUELIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025951",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11025951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.