Active NPI
Kenessa Ugarte
- Family Nurse Practitioner
- Deland, FL
National Provider Identifier
1811601511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11023921
- Practice address
- 701 W Plymouth Ave
Deland, FL 32720-3236 - Phone
- (386) 624-8556
- NPI assigned
- Jan 9, 2023
- Last updated
- Jan 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11023921 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
701 W Plymouth Ave
Deland, FL 32720-3236
Mailing address
PO Box 21991
Belfast, ME 04915-4116
Phone (386) 624-8556
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064
7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908
Hospital & facility affiliations
- Trilogy Home Healthcare
- Apex Home Healthcare
- Centerwell Home Health
- Halifax Health Hospice
- Adventhealth Fish Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.99 of 100
- Quality
- 84.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Health, LLC | Current | Accepting new patients |
Locations
1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064
Interoperability endpoints
- https://fhir.meditouchehr.com/api/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1447741749
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Daytona Beach, FL
- NPI 1114955713
-
dba Hospice of Volusia Flagler
- Community Based Hospice Care Agency
- Port Orange, FL
- NPI 1376510065
-
dba Apex Home Healthcare
- Home Health Agency
- Orange City, FL
- NPI 1467446203
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1811601511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21991",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154116",
"telephone_number": "386-624-8556",
"fax_number": "386-672-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203236",
"telephone_number": "386-624-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGARTE",
"first_name": "KENESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11023921",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
- Scott Allen Tucker, DC
- Nathan J Turnbull, M.D.
- Timothy Rex Turner
- Michelle Rene' Tutt, ARPN, FNP-C
- Lauren Uddo, DC
- Josephine H Underhill, MED.,LMHC
- Alexsander Unger, M.D.
- University Center East Operating LLC (University East Rehabilitation Center)
- University Center West Operating LLC (University West Rehabilitation Center)
- University East Rehabilitation Center, LLC (University Center East)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.