Active NPI
Meghan Marie Cequerella, NP
- Gerontology Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11022296
- Practice address
- 3264 Greenwald Way N
Kissimmee, FL 34741-0728 - Phone
- (407) 539-0312
- NPI assigned
- Dec 19, 2022
- Last updated
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11022296 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11022296 | FL | Primary |
Addresses
Primary practice location
3264 Greenwald Way N
Kissimmee, FL 34741-0728
Mailing address
3264 Greenwald Way N
Kissimmee, FL 34741-0728
Phone (407) 539-0312
Other practice location 1
2228 S Kirkman Rd
Orlando, FL 32811-2308
Phone (407) 615-8180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116737700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3264 Greenwald Way N
Kissimmee, FL 34741-0728
Phone (407) 539-0312
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.54 of 100
- Quality
- 38.49
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Adventhealth Primary Care Network Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
7540 W University Ave
Gainesville, FL 32607
Phone (352) 265-0335
3264 Greenwald Way N
Kissimmee, FL 34741
Phone (407) 539-0312
Interoperability endpoints
- mcequerella3692197@adventhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1720790017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 GREENWALD WAY N",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347410728",
"telephone_number": "407-539-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 GREENWALD WAY N",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347410728",
"telephone_number": "407-539-0312"
}
],
"practiceLocations": [
{
"address_1": "2228 S Kirkman Rd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328112308",
"country_code": "US",
"telephone_number": "407-615-8180",
"fax_number": "407-615-8182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEQUERELLA",
"first_name": "MEGHAN",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11022296",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11022296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116737700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Central Florida Pediatric & Adult Therapy Services, Inc.
- Central Florida Spine Rehab
- Central Florida Surgical Specialists, PA
- Central Haven LLC
- Centralfloridaprimaryphysicians
- Priscilla Hope Ceri
- Julian Andres Ceron
- Mary Christine Cerrado, PT, DPT, OCS
- Certified Spine and Pain Care LLC
- Cesar Molano Health Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.