Active NPI
Ivelisse Garcia, APRN
- Family Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1114285
- Practice address
- 270 S Moon Ave
Brandon, FL 33511-5711 - Phone
- (813) 571-9988
- Fax
- (813) 571-9922
- NPI assigned
- Dec 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1114285 | FL | Primary |
Addresses
Primary practice location
270 S Moon Ave
Brandon, FL 33511-5711
Mailing address
270 S Moon Ave
Brandon, FL 33511-5711
Phone (813) 571-9988
Other practice location 1
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 974-2201
Other practice location 2
9065 Pinebreeze Dr
Riverview, FL 33578-8862
Phone (813) 789-7823
Other practice location 3
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NBYAO | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
270 S Moon Ave
Brandon, FL 33511-5711
Phone (813) 571-9988
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.25 of 100
- Quality
- 73.64
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1114285 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Cardiology Network, LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
270 S Moon Ave
Brandon, FL 33511
Phone (813) 571-9988
6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- igarcia11367@direct.tgh.org
- https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Saint Petersburg, FL
- NPI 1801198023
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1679971196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 S MOON AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115711",
"telephone_number": "813-571-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 S MOON AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115711",
"telephone_number": "813-571-9988",
"fax_number": "813-571-9922"
}
],
"practiceLocations": [
{
"address_1": "1 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-974-2201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9065 Pinebreeze Dr",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335788862",
"country_code": "US",
"telephone_number": "813-789-7823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Oakfield Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115779",
"country_code": "US",
"telephone_number": "813-681-5551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "IVELISSE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-16",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F1114285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NBYAO",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.