Individual provider Active NPI

Jose Antonio Vera, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1669702270
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3163082 Issued in FL
Practice address
3993 W 1St St
Sanford, FL 32771-9726
Phone
(407) 732-4272
Fax
(407) 732-4579
NPI assigned
Jan 4, 2010
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3163082 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3163082 FL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

3993 W 1St St
Sanford, FL 32771-9726

Mailing address

4873 Rock Rose Loop
Sanford, FL 32771-9203
Phone (407) 688-9212

Other practice location 1

4873 Rock Rose Loop
Sanford, FL 32771
Phone (407) 688-9212

Other practice location 2

3993 W 1st St
Sanford, FL 32771
Phone (407) 732-4272

Other identifiers 1

IdentifierTypeStateIssuer
001702700MedicaidFL

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
I20100302000182 FL Practitioner - Nurse Practitioner 3173668142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saafe Behavioral Services LLCGroup PAC ID 5092943241, 11 clinicians
Home Medical Visits, Inc.Group PAC ID 4284635590, 4 clinicians
HMV DiagnosticsGroup PAC ID 8123172020, 21 clinicians

Practice addresses (Care Compare)

201 W Plymouth Ave
Deland, FL 32720-2753
Phone (386) 873-2963

5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone (877) 202-1191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3163082FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Behavioral Services LLC CurrentSince Nov 3, 2018 Accepting new patients
Jose Mendez MD PA CurrentSince Sep 18, 2015 Accepting new patients
Saafe Health Services LLC CurrentSince Nov 3, 2018 Accepting new patients
Home Medical Visits, Inc Adult Health CurrentSince Dec 17, 2025 Accepting new patients
Diagnostic Medical Testing Inc Past Accepting new patients
Serenity Springs LLC Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Orlando Health Inc Past Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

2435 US Highway 19
Ste 210
Holiday, FL 34691
Phone (727) 940-5908

2435 US Highway 19
Ste 300
Holiday, FL 34691
Phone (727) 940-5908

5304 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 940-5908

8615 Commodity Cir
Ste 12
Orlando, FL 32819
Phone (407) 476-1212

570 Memorial Cir
Ste 200
Ormond Beach, FL 32174
Phone (386) 451-2346

3993 W State Road 46
Sanford, FL 32771
Phone (407) 732-4272

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1669702270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 ROCK ROSE LOOP",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719203",
            "telephone_number": "407-688-9212",
            "fax_number": "407-688-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719726",
            "telephone_number": "407-732-4272",
            "fax_number": "407-732-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4873 Rock Rose Loop",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "32771",
            "country_code": "US",
            "telephone_number": "407-688-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3993 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "32771",
            "country_code": "US",
            "telephone_number": "407-732-4272",
            "fax_number": "407-732-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3163082",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3163082",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001702700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.