Luis Alberto Colon, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP3323082 Issued in FL

Practice address

9770 Old Baymeadows Rd Ste 141
Jacksonville, FL 32256-7986

Phone

(904) 944-2124

Fax

(888) 241-3383

NPI assigned

Sep 17, 2010

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Spine and Pain Center PAGroup PAC ID 3274613013, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Premier Spine & Pain Center PA

  • Pain Medicine Physician
  • Orange Park, FL
  • NPI 1679762876
  Medicare reassignment Care Compare group NPD
• Pain Spine & Wellness LLC

  dba Dedicated Pain & Wellness

  • Adult Medicine Physician
  • Jacksonville, FL
  • NPI 1942868377
  NPD
• Affordable Health Center, Inc

  • Chiropractor
  • Orange Park, FL
  • NPI 1275849549
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1699083279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 OLD BAYMEADOWS RD STE 141",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567986",
            "telephone_number": "904-944-2124",
            "fax_number": "888-241-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 OLD BAYMEADOWS RD STE 141",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567986",
            "telephone_number": "904-944-2124",
            "fax_number": "888-241-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3323082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3246600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danery Colon-Rodriguez, MS, RDN
• Rosangelly Colon-Torres, NP
• Angelica Colon
• Hector Gabriel Colon
• Lara Colon, BCBA
• Nancy Colon
• Matthew Michael Colontonio, MD
• Colors of Compassion, LLC
• Joseph Colosi
• Mark Steven Colosimo, RPH

• Adult Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.

Verify at the official NPI Registry.