Orismelcy De Los Reyes Pupo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010292 Issued in FL

Practice address

5352 N Habana Ave Ste D
Tampa, FL 33614-6838

Phone

(813) 999-1103

Fax

(813) 999-1373

NPI assigned

Feb 26, 2021

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Bestcare Physician Services LLCGroup PAC ID 1456690320, 14 clinicians

Universal Family Clinic LLCGroup PAC ID 0143740258, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Universal Family Clinic LLC

  • Clinic/Center
  • Tampa, FL
  • NPI 1720821135

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Bestcare Physician Services LLC.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1821579046
  Medicare reassignment Care Compare group NPD
• Unity Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1720324627
  NPD (past)

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

• Southwest Florida Home Care Inc

  • Home Health Agency
  • Tampa, FL
  • NPI 1962051953
  Care Compare affiliation

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1659965820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-999-1103",
            "fax_number": "813-999-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 N HABANA AVE STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146838",
            "telephone_number": "813-999-1103",
            "fax_number": "813-999-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS REYES PUPO",
        "first_name": "ORISMELCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina De la Torre, DMD
• De Las Mercedes Alf Corp
• Leniel Alejandro De Leon Dumenigo
• Lydiana De Leon
• Julia De Lima Farah Agi, MD
• De Los Rios Alf Corp
• Amarfis Ivelisse De Los Santos
• Laurie J. De Luca, MD
• Anthony C De Lucia, D.O.
• Mitzi Estefania De Maa Parra, RD

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, 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 1, 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.