Organization Active NPI

Yanes Family Primary Care LLC

  • Primary Care Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1649955469
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
YANES FAMILY PRIMARY CARE LLC
Practice address
6311 Brenton Pointe CV
Orlando, FL 32829-8020
Phone
(407) 692-1730
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Miguel Yanes Delgado, APRNNPI 1821466616
Title
Owner
Phone
(407) 692-1730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

6311 Brenton Pointe CV
Orlando, FL 32829-8020

Mailing address

6311 Brenton Pointe CV
Orlando, FL 32829-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220000669 FL Part B Supplier - Clinic/Group Practice 9537503446 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1649955469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 BRENTON POINTE CV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 BRENTON POINTE CV",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298020",
            "telephone_number": "407-692-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANES FAMILY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "YANES DELGADO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-692-1730",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.