Individual provider Active NPI

Gaspar M. Cuadrao

  • Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1700546595
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11016575 Issued in FL
Practice address
14134 Nephron LN
Hudson, FL 34667-6504
Phone
(727) 863-5418
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 11016575 FL
Nurse Practitioner 363L00000X 11016575 FL Primary

Addresses

Primary practice location

14134 Nephron LN
Hudson, FL 34667-6504

Mailing address

415 NE 16TH PL
Cape Coral, FL 33909-2259
Phone (239) 699-8264

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
I20230315000225 FL Practitioner - Nurse Practitioner 6204200249 Reassigns benefits to 1 organization

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
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

3227 Lee Blvd
Unit 5
Lehigh Acres, FL 33971-1428
Phone (239) 236-2013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016575FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP CurrentSince Dec 1, 2022 Accepting new patients

Locations

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

3227 Lee Blvd
Unit 5
Lehigh Acres, FL 33971
Phone (239) 236-2013

3227 Lee Blvd
Ste 5
Lehigh Acres, FL 33971

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gcuadrao78970@direct.acumenmd.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1700546595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NE 16TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092259",
            "telephone_number": "239-699-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14134 NEPHRON LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676504",
            "telephone_number": "727-863-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADRAO",
        "first_name": "GASPAR",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016575",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.