Individual provider Active NPI

Roberto Padron

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1750136644
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11033719 Issued in FL
Practice address
717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435
Phone
(800) 539-4228
NPI assigned
Apr 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11033719 FL Primary

Addresses

Primary practice location

717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304
Phone (386) 236-3225

Other practice location 1

3910 SW 112th St
Ocala, FL 34476-4335
Phone (352) 875-2054

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
I20240919004197 FL Practitioner - Nurse Practitioner 1951842756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sma Healthcare Inc 39 clinicians
Project Health Inc 34 clinicians

Practice addresses (Care Compare)

717 SW Martin Luther King Jr Ave
Ocala, FL 34471-1435
Phone (352) 291-5555

7205 SE Maricamp Rd
Ocala, FL 34472-2105
Phone (352) 680-0324

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Project Health Inc CurrentSince Nov 12, 2025 Accepting new patients
Project Health Inc. CurrentSince Nov 12, 2025 Accepting new patients
Sma Healthcare, Inc CurrentSince Sep 9, 2024 Accepting new patients
Sma Healthcare Inc Current Accepting new patients
Project Health Inc Current Accepting new patients
Sma Healthcare Inc CurrentSince Sep 9, 2024 Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544

120 N Montgomery Ave
Inverness, FL 34450
Phone (352) 419-5760

717 SW Mlk Jr Ave
Ocala, FL 34471
Phone (352) 291-5555

7205 SE Maricamp Rd
Ocala, FL 34472
Phone (352) 680-0324

330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780

1389 S US 301
Sumterville, FL 33585

1425 S US 301
Sumterville, FL 33585

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1750136644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304",
            "telephone_number": "386-236-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SW MARTIN LUTHER KING JR AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711435",
            "telephone_number": "800-539-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 SW 112th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344764335",
            "country_code": "US",
            "telephone_number": "352-875-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADRON",
        "first_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11033719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.