Individual provider Active NPI

Abel Vicente Aballe Mosqueda

  • Family Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1750097465
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023986 Issued in FL
Practice address
27174 Elaine Dr
Bonita Springs, FL 34135-6058
Phone
(239) 200-3878
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023986 FL Primary

Addresses

Primary practice location

27174 Elaine Dr
Bonita Springs, FL 34135-6058

Mailing address

27174 Elaine Dr
Bonita Springs, FL 34135-6058
Phone (239) 200-3878

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
I20230224002626 FL Practitioner - Nurse Practitioner 7618340407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management SpecialistsGroup PAC ID 9638161979, 3 clinicians

Practice addresses (Care Compare)

8255 College Pkwy
Suite 200
Fort Myers, FL 33919-5119
Phone (239) 337-6888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists CurrentSince Feb 6, 2023 Accepting new patients

Locations

8255 College Pkwy
Fort Myers, FL 33919
Phone (239) 333-7687

8255 College Pkwy
Ste 200
Fort Myers, FL 33919
Phone (239) 337-6888

Interoperability endpoints

  • Direct secure messaging: abel.aballemosqueda.p1@direct.apms.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1750097465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27174 ELAINE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356058",
            "telephone_number": "239-200-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27174 ELAINE DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356058",
            "telephone_number": "239-200-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABALLE MOSQUEDA",
        "first_name": "ABEL",
        "middle_name": "VICENTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.