Individual provider Active NPI

Kysvel Darelsi Peters Vargas, ARNP

  • Gerontology Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1710793914
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11026355 Issued in FL
Practice address
4945 SW 49TH PL
Ocala, FL 34474-9673
Phone
(352) 237-9430
Fax
(352) 237-9698
NPI assigned
Dec 4, 2024
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11026355 FL Primary

Addresses

Primary practice location

4945 SW 49TH PL
Ocala, FL 34474-9673

Mailing address

9456 Charlesberg Dr
Tampa, FL 33635-1637
Phone (813) 770-9781

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
I20251029001097 FL Practitioner - Nurse Practitioner 5799274841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2890 Ctr Pointe Dr
Fort Myers, FL 33916

PO Box
Atlanta, GA 30368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11026355FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Association PA CurrentSince Dec 8, 2024 Accepting new patients
Starling Oncology FL, LLC CurrentSince Dec 8, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Oct 20, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Oct 20, 2025 Accepting new patients

Locations

4945 SW 49th Pl
Ocala, FL 34474
Phone (352) 237-9430

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

4700 N Habana Ave
Ste 702
Tampa, FL 33614
Phone (813) 757-8497

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1710793914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 CHARLESBERG DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336351637",
            "telephone_number": "813-770-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 SW 49TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749673",
            "telephone_number": "352-237-9430",
            "fax_number": "352-237-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS VARGAS",
        "first_name": "KYSVEL",
        "middle_name": "DARELSI",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11026355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.