Gregory Miguel Aguila
Individual provider Active NPI Family Nurse Practitioner · Belleview, FL
NPI 1679289359 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1679289359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11023116 (FL)
- Practice address
- 10762 SE US Highway 441
Belleview, FL 34420-3805 - Phone
- (352) 347-5225
- NPI assigned
- Jan 26, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
5036 SE 110TH St
Suite 103
Belleview, FL 34420-3759
Phone (352) 693-3378
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230228000969 | FL | Practitioner - Nurse Practitioner | 7517330202 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Care of Belleview, LLC | Current |
Accepting new patients | |
| Express Care of Belleview, LLC | Current |
Accepting new patients |
Locations
10762 SE US Highway 441
Belleview, FL 34420
Phone (352) 346-5225
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61486
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11023116 | FL | Yes |
Addresses
Primary practice location
10762 SE US Highway 441
Belleview, FL 34420-3805
Mailing address
10762 SE US Highway 441
Belleview, FL 34420-3805
Phone (352) 347-5225
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11023116 | Other | FL | APRN LICENSE |
Other providers in Belleview, FL
- A School 4 Legends LLC
- Advanced Physical Therapy of Central Florida Inc
- Christain Akyin
- Rebecca Lynn Allbritton
- Always There Browns Support Services
- Patricia Carol Anderson
- Michael Anzardo
All providers in Belleview, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.