Individual provider Active NPI

Betsy Joan Quinones, APRN

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1811749955
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031926 Issued in FL
Practice address
414 W Robertson St
Brandon, FL 33511-5007
Phone
(813) 701-5804
Fax
(813) 291-7615
NPI assigned
Apr 2, 2024
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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 APRN11031926 FL Primary

Addresses

Primary practice location

414 W Robertson St
Brandon, FL 33511-5007

Mailing address

3501 Bessie Coleman Blvd Unit 25201
Tampa, FL 33622-9130
Phone (813) 701-5804

Other practice location 1

771 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone (813) 701-5804

Other practice location 2

1417 Lakeland Hills Blvd Ste 201
Lakeland, FL 33805-3208
Phone (813) 701-5804

Other practice location 3

2310 North Blvd W Ste A
Davenport, FL 33837-8988
Phone (813) 701-5804

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
I20250311000982 FL Practitioner - Nurse Practitioner 6002337789 Reassigns benefits to 1 organization

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
Excel Pain and Spine LLCGroup PAC ID 8123447869, 15 clinicians

Practice addresses (Care Compare)

414 W Robertson St
Brandon, FL 33511-5007
Phone (813) 701-5804

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pain and Spine LLC CurrentSince Jan 5, 2025 Accepting new patients
Excel Pain and Spine LLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

414 W Robertson St
Brandon, FL 33511
Phone (813) 657-6767

2310 North Blvd W
Ste A
Davenport, FL 33837
Phone (863) 732-7246

1417 Lakeland Hills Blvd
Ste 201
Lakeland, FL 33805
Phone (833) 513-7246

3909 Galen Ct
Ste 104
Sun City Ctr, FL 33573
Phone (813) 400-3879

771 Cypress Village Blvd
Sun City Ctr, FL 33573
Phone (813) 333-5080

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1811749955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BESSIE COLEMAN BLVD UNIT 25201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336229130",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115007",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 Cypress Village Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736801",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 Lakeland Hills Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053208",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 North Blvd W Ste A",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378988",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "BETSY",
        "middle_name": "JOAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.