Individual provider Active NPI

Marcello Alevato

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1669045373
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014412 Issued in FL
Practice address
2413 Fenetre LN
Kissimmee, FL 34741-7949
Phone
(407) 408-2275
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014412 FL Primary

Addresses

Primary practice location

2413 Fenetre LN
Kissimmee, FL 34741-7949

Mailing address

2413 Fenetre LN
Kissimmee, FL 34741-7949
Phone (407) 408-2275

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
I20210929002613 FL Practitioner - Nurse Practitioner 5597162883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Sunbelt, Inc. 212 clinicians

Practice addresses (Care Compare)

1103 N 14TH St
Adventhealth Centra Care Leesburg
Leesburg, FL 34748-3820
Phone (352) 314-2328

19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484

250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

8201 W Irlo Bronson Hwy
Adventhealth Centra Care Orange Lake
Kissimmee, FL 34747-8202
Phone (407) 465-0846

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11014412FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Sep 23, 2021 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Sep 23, 2021 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1669045373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 FENETRE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417949",
            "telephone_number": "407-408-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 FENETRE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417949",
            "telephone_number": "407-408-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEVATO",
        "first_name": "MARCELLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.