Active NPI
Roberto Padron
- Psychiatric/Mental Health Nurse Practitioner
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11033719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncProject Health Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Health Inc | Current | Accepting new patients | |
| Project Health Inc. | Current | Accepting new patients | |
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | Accepting new patients | |
| Project Health Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
FL
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
-
- Federally Qualified Health Center (FQHC)
- Inverness, FL
- NPI 1427545375
-
- Federally Qualified Health Center (FQHC)
- Lecanto, FL
- NPI 1669012498
-
- Physiological Laboratory
- Sumterville, FL
- NPI 1750503322
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1942487186
-
- Federally Qualified Health Center (FQHC)
- Homosassa, FL
- NPI 1972767481
-
- Federally Qualified Health Center (FQHC)
- Inverness, FL
- NPI 1972959302
-
- Federally Qualified Health Center (FQHC)
- Bunnell, FL
- NPI 1215735162
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1962664920
-
- Private Vehicle
- Sumterville, FL
- NPI 1184122517
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.