Individual provider Active NPI

Adrijana Mijatovic, NP

  • Adult Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1710527056
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11005772 Issued in FL
Practice address
10000 W Colonial Dr Ste 289
Ocoee, FL 34761-3432
Phone
(321) 841-4344
Fax
(321) 842-4784
NPI assigned
Jan 15, 2020
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11005772 FL Primary
Family Nurse Practitioner 363LF0000X APRN11005772 FL

Addresses

Primary practice location

10000 W Colonial Dr Ste 289
Ocoee, FL 34761-3432

Mailing address

1335 Sligh Blvd
3Rd FL
Orlando, FL 32806-1110
Phone (321) 841-9205

Other practice location 1

1690 Dunlawton Ave Ste 210
Port Orange, FL 32127-8980
Phone (386) 763-4920

Other identifiers 1

IdentifierTypeStateIssuer
109089200MedicaidFL

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
I20200709003652 FL Practitioner - Nurse Practitioner 8224469135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

1335 Sligh Blvd
Suite 3
Orlando, FL 32806-3901
Phone (407) 649-6884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005772FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Oct 9, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Aug 16, 2020 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Aug 16, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2021 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

10000 W Colonial Dr
Ste 289
Ocoee, FL 34761
Phone (407) 296-1911

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

1335 Sligh Blvd
Fl 3
Orlando, FL 32806

1335 Sligh Blvd
Ste 3
Orlando, FL 32806
Phone (321) 874-1902

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

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amijatovic328856@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1710527056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SLIGH BLVD",
            "address_2": "3RD FL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-9205",
            "fax_number": "321-842-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 289",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "321-841-4344",
            "fax_number": "321-842-4784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Dunlawton Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321278980",
            "country_code": "US",
            "telephone_number": "386-763-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIJATOVIC",
        "first_name": "ADRIJANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11005772",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109089200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.