Individual provider Active NPI

Anthony J Gustitus Jr., APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1801420955
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005863 Issued in FL
Practice address
2415 N Orange Ave Ste 502
Orlando, FL 32804-5503
Phone
(407) 303-2801
Fax
(407) 303-2805
NPI assigned
Feb 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 APRN11005863 FL Primary

Addresses

Primary practice location

2415 N Orange Ave Ste 502
Orlando, FL 32804-5503

Mailing address

735 Main LN Apt 3112
Orlando, FL 32801-3737

Other practice location 1

8081 Turkey Lake Rd Ste 620
Orlando, FL 32819-7389
Phone (407) 232-6837

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
I20210304000062 FL Practitioner - Nurse Practitioner 8921414632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

25 S Terry Ave
Suite 320
Orlando, FL 32805-1843
Phone (844) 407-4070

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice-St Cloud, Inc. CurrentSince Mar 8, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 25, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 25, 2023 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2415 N Orange Ave
Ste 502
Orlando, FL 32804
Phone (407) 303-2801

3100 17th St
Saint Cloud, FL 34769
Phone (407) 891-3500

3100 17th St
Ste A
Saint Cloud, FL 34769
Phone (407) 891-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: agustitus731648@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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1801420955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 MAIN LN APT 3112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 502",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045503",
            "telephone_number": "407-303-2801",
            "fax_number": "407-303-2805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8081 Turkey Lake Rd Ste 620",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197389",
            "country_code": "US",
            "telephone_number": "407-232-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTITUS",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.