Individual provider Active NPI

Grace Jenny Velez Pagan, MD

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1700365053
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1769 Issued in FL
Practice address
3185 W Vine St
Kissimmee, FL 34741-3738
Phone
(407) 569-1260
Fax
(833) 963-0109
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ACN1769 FL Primary

Addresses

Primary practice location

3185 W Vine St
Kissimmee, FL 34741-3738

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

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
I20251029004219 FL Practitioner - General Practice 4587098298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3185 W Vine St
Kissimmee, FL 34741-3738
Phone (407) 569-1260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1769FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL Inc Multi-Specialty Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Multi-Specialty CurrentSince Oct 27, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Multi-Specialty CurrentSince Oct 27, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Multi-Specialty Past Accepting new patients

Locations

1050 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 483-1400

3185 W Vine St
Kissimmee, FL 34741
Phone (407) 569-1260

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: grace.velez.pagan.1@29601.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1700365053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413738",
            "telephone_number": "407-569-1260",
            "fax_number": "833-963-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ PAGAN",
        "first_name": "GRACE",
        "middle_name": "JENNY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.