Individual provider Active NPI

Gladys Peguero, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1689317893
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017533 Issued in FL
Practice address
2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308
Phone
(407) 932-6193
Fax
(407) 932-6194
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11017533 FL
Family Nurse Practitioner 363LF0000X APRN11017533 FL Primary

Addresses

Primary practice location

2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308

Mailing address

2400 N Orange Blossom TRL Ste 302
Kissimmee, FL 34744-2308
Phone (407) 932-6193

Other practice location 1

2415 N Orange Ave Ste 601
Orlando, FL 32804-5558
Phone (407) 303-2070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gladys.peguero@adventhealth.com Health Information Exchange (HIE) Advent Health

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
I20220729001028 FL Practitioner - Nurse Practitioner 7517349152 Reassigns benefits to 2 organizations

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
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11017533FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Sep 12, 2022 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Feb 27, 2023 Accepting new patients
Adventist Health System/Sunbelt, Inc. Family CurrentSince Feb 27, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 12, 2022 Accepting new patients

Locations

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

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2400 N Orange Blossom Trl
Ste 302
Kissimmee, FL 34744
Phone (407) 932-6193

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2415 N Orange Ave
Ste 601
Orlando, FL 32804
Phone (407) 303-2070

Interoperability endpoints

  • Direct secure messaging: gpeguero151751@adventhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

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": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1689317893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-932-6193",
            "fax_number": "407-932-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ORANGE BLOSSOM TRL STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442308",
            "telephone_number": "407-932-6193",
            "fax_number": "407-932-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 N Orange Ave Ste 601",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045558",
            "country_code": "US",
            "telephone_number": "407-303-2070",
            "fax_number": "407-303-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGUERO",
        "first_name": "GLADYS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gladys.peguero@adventhealth.com",
            "affiliation": "Y",
            "endpointDescription": "organization email address",
            "affiliationName": "Advent Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "601 E Rollins St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328031248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.