Individual provider Active NPI

Joan L Nardeo, NP

  • Primary Care Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1821788209
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11024710 Issued in FL
Practice address
825 E Oak St
Kissimmee, FL 34744-5838
Phone
(321) 442-8009
Fax
(321) 442-8012
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11024710 FL Primary

Addresses

Primary practice location

825 E Oak St
Kissimmee, FL 34744-5838

Mailing address

PO Box 420037
Kissimmee, FL 34742-0037
Phone (321) 442-8009

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
I20240902000189 FL Practitioner - Nurse Practitioner 7113273640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid Florida Primary Care PAGroup PAC ID 7416049044, 6 clinicians

Practice addresses (Care Compare)

401 W N Blvd
Leesburg, FL 34748-5044
Phone (352) 728-4242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024710FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Primary Care PA CurrentSince Jul 4, 2024 Accepting new patients
Mid Florida Primary Care PA CurrentSince Jul 4, 2024 Accepting new patients

Locations

401 W North Blvd
Leesburg, FL 34748
Phone (352) 728-4242

17809 SE 109th Ave
Summerfield, FL 34491
Phone (352) 307-4200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1821788209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420037",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347420037",
            "telephone_number": "321-442-8009",
            "fax_number": "321-442-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445838",
            "telephone_number": "321-442-8009",
            "fax_number": "321-442-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDEO",
        "first_name": "JOAN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11024710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.