Individual provider Active NPI

Juji Tejares Esquilla, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1699194944
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9205665 Issued in FL
Practice address
1111 W Fairbanks Ave
Winter Park, FL 32789-4756
Phone
(321) 843-5851
Fax
(321) 842-1611
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9205665 FL
Adult Health Nurse Practitioner 363LA2200X APRN9205665 FL Primary

Addresses

Primary practice location

1111 W Fairbanks Ave
Winter Park, FL 32789-4756

Mailing address

1111 W Fairbanks Ave
Winter Park, FL 32789-4756
Phone (321) 843-5851

Other practice location 1

9145 Narcoossee Rd Ste A200
Orlando, FL 32827-5768
Phone (407) 412-5030

Other identifiers 1

IdentifierTypeStateIssuer
125201200MedicaidFL

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
I20151006001621 FL Practitioner - Nurse Practitioner 8820306178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1111 W Fairbanks Ave
Suite 110
Winter Park, FL 32789-4777
Phone (407) 767-5808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9205665FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Florida Inc. CurrentSince Aug 10, 2015 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

587 E State Road 434
Longwood, FL 32750
Phone (407) 896-1100

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

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

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7350 Sandlake Commons Blvd
Ste 1115
Orlando, FL 32819
Phone (407) 846-3455

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

1111 W Fairbanks Ave
Winter Park, FL 32789
Phone (321) 841-1869

1245 Orange Ave
Ste 120
Winter Park, FL 32789
Phone (407) 478-4585

1111 W Fairbanks Ave
Ste 110
Winter Park, FL 32789
Phone (407) 767-5808

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

Hospital & facility affiliations 7

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1699194944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894756",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894756",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9145 Narcoossee Rd Ste A200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328275768",
            "country_code": "US",
            "telephone_number": "407-412-5030",
            "fax_number": "407-601-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESQUILLA",
        "first_name": "JUJI",
        "middle_name": "TEJARES",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9205665",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9205665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125201200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.