Individual provider Active NPI

Renee Cortez, DNP, MSN, BSN, ACNP

  • Acute Care Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1770629768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9302490 Issued in FL
Practice address
1241 E Dyer Rd Ste 145
Santa Ana, CA 92705-5694
Phone
(949) 449-1112
Fax
(714) 368-0843
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F301855 NY
Acute Care Nurse Practitioner 363LA2100X ARNP9302490 FL Primary

Addresses

Primary practice location

1241 E Dyer Rd Ste 145
Santa Ana, CA 92705-5694

Mailing address

1238 Falling Star LN
Orlando, FL 32828-7493
Phone (914) 473-8655

Other identifiers 2

IdentifierTypeStateIssuer
1770629768OtherNYNPI
03843607MedicaidNY

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
I20190225002129 FL Practitioner - Nurse Practitioner 9234210709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9302490FLMDAcute Care Nurse Practitioner
F301855NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, M.D., P.a. CurrentSince Feb 15, 2019 Accepting new patients
Orlando Immunology Center PA CurrentSince Jan 1, 2020 Accepting new patients

Locations

685 Palm Springs Dr
Ste 2A
Altamonte Springs, FL 32701
Phone (407) 830-5577

Organizations & group practices 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770629768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 FALLING STAR LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287493",
            "telephone_number": "914-473-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E DYER RD STE 145",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055694",
            "telephone_number": "949-449-1112",
            "fax_number": "714-368-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, BSN, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F301855",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9302490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770629768",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03843607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.