Individual provider Active NPI

Kenley Pierre-Louis, APRN

  • Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1821352790
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9253348 Issued in FL
Practice address
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(352) 392-4321
NPI assigned
Jun 26, 2012
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9253348 FL Primary

Addresses

Primary practice location

600 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

PO Box 100222
Gainesville, FL 32610-0222
Phone (352) 392-4321

Other identifiers 1

IdentifierTypeStateIssuer
007210500MedicaidFL

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
I20130403000090 FL Practitioner - Nurse Practitioner 1759526353 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1143 State Rd 60
Optum Lake Wales
Lake Wales, FL 33853-4320
Phone (863) 679-8815

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9253348FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Mar 14, 2022 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Feb 3, 2020 Accepting new patients
Villages Tri-County Medical Center Inc. CurrentSince Jun 24, 2014 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Mar 13, 2017 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner CurrentSince Mar 13, 2017 Accepting new patients
Villages Tri-County Medical Center Inc CurrentSince Jun 24, 2014 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Mar 14, 2022 Accepting new patients
Villages Tri-County Medical Center Inc. Current Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
Good to Great Family Wellness Center LLC Nurse Practitioner Current Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jun 25, 2016 Accepting new patients
Leesburg Regional Medical Center Physician Services LLC Past Accepting new patients
Physicians Services LLC Past Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

550 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-2273

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1501 N US Highway 441
Ste 1830
The Villages, FL 32159
Phone (352) 391-9200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kenley.pierrelouis@wellmed.eclinicaldirectplus.com
  • Direct secure messaging: kpierrelouis561987@direct.shands.ufl.edu

Organizations & group practices 15

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.

View all 15

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1821352790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100222",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100222",
            "telephone_number": "352-392-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-392-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-LOUIS",
        "first_name": "KENLEY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9253348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007210500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.