Individual provider Active NPI

Vanessa Dejesus Dance, MD

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1699775320
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME76195 Issued in FL
Practice address
83 W Miller St
Orlando, FL 32806-2031
Phone
(321) 841-5281
Fax
(407) 648-9879
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME76195 FL Primary

Addresses

Primary practice location

83 W Miller St
Orlando, FL 32806-2031

Mailing address

83 W Miller St
Orlando, FL 32806-2031

Other practice location 1

2325 Vidina Dr
Melbourne, FL 32940-7698
Phone (321) 471-1068

Other identifiers 2

IdentifierTypeStateIssuer
268315600MedicaidFL
82042YOtherFLMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000243 FL Practitioner - Obstetrics/Gynecology 0749175495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ponce School of Medicine, 1996
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)

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME76195FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 31, 2014 Accepting new patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 31, 2014 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 404
Cocoa Beach, FL 32931
Phone (321) 868-2778

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 549-0815

699 W Cocoa Beach Cswy
Ste 603
Cocoa Beach, FL 32931
Phone (321) 403-1879

2325 Vidina Dr
Melbourne, FL 32940
Phone (321) 471-1068

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

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

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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 1

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1699775320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MILLER ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062031",
            "telephone_number": "321-841-5281",
            "fax_number": "407-648-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Vidina Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407698",
            "country_code": "US",
            "telephone_number": "321-471-1068",
            "fax_number": "321-434-9285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANCE",
        "first_name": "VANESSA",
        "middle_name": "DEJESUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME76195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268315600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "82042Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.