Individual provider Active NPI

Nellie Ofarrill, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1710934492
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ACN641 Issued in FL
Practice address
1400 N Semoran Blvd
Orlando, FL 32807-3536
Phone
(407) 823-8421
Fax
(407) 823-8195
NPI assigned
May 28, 2006
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ACN641 FL Primary

Addresses

Primary practice location

1400 N Semoran Blvd
Orlando, FL 32807-3536

Mailing address

2224 Abey Blanco Dr
Orlando, FL 32828-7381
Phone (407) 285-6691

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
I20151029002739 FL Practitioner - Family Practice 8325044613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Psychiatric ServicesGroup PAC ID 4981901444, 6 clinicians

Practice addresses (Care Compare)

5449 S Semoran Blvd
Suite 20
Orlando, FL 32822-1778
Phone (407) 734-1273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN641FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychiatric Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
Compass Counseling Services, LLC CurrentSince Sep 28, 2015 Accepting new patients
Hi Five Services LLC CurrentSince Oct 4, 2025 Accepting new patients
Compass Counseling Services,LLC Past Accepting new patients

Locations

651 E Main St
Ste 4
Haines City, FL 33844
Phone (407) 329-3442

1400 N Semoran Blvd
Orlando, FL 32807
Phone (407) 823-8421

1400 N Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 823-8421

5449 S Semoran Blvd
Ste 20
Orlando, FL 32822
Phone (407) 734-1273

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1710934492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 ABEY BLANCO DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287381",
            "telephone_number": "407-285-6691",
            "fax_number": "407-482-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073536",
            "telephone_number": "407-823-8421",
            "fax_number": "407-823-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFARRILL",
        "first_name": "NELLIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ACN641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.