Individual provider Active NPI

Sherly Poulose, ARNP

  • Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1831559202
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9269900 Issued in FL
Practice address
689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone
(407) 767-7262
Fax
(407) 775-5002
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9269900 FL
Nurse Practitioner 363L00000X ARNP9269900 FL Primary

Addresses

Primary practice location

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801

Mailing address

10000 W Colonial Dr Ste 484
Ocoee, FL 34761-3436
Phone (321) 841-6444

Other practice location 1

10000 W Colonial Dr Ste 484
Ocoee, FL 34761-3436
Phone (321) 841-6444

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
I20160620002447 FL Practitioner - Nurse Practitioner 1850682915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
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)

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

2984 Alafaya TRL
Suite 1000
Oviedo, FL 32765-7628
Phone (407) 894-4474

631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214

689 E Altamonte Dr
Altamonte Springs, FL 32701-4801
Phone (407) 894-4474

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9269900FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Sep 8, 2025 Accepting new patients
Florida Cardiology PA CurrentSince Jul 22, 2021 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Sep 8, 2025 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Apr 5, 2025 Accepting new patients

Locations

689 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 767-7262

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

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

10000 W Colonial Dr
Ste 484
Ocoee, FL 34761
Phone (407) 296-1933

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

7806 Lake Underhill Rd
Ste 105
Orlando, FL 32822
Phone (407) 281-9229

483 N Semoran Blvd
Ste 102
Winter Park, FL 32792

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: spoulose3693904@adventhealth.direct-ci.com
  • Direct secure messaging: sherly.poulose@flcard.directbygreenway.com

Organizations & group practices 4

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 2

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1831559202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 484",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613436",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014801",
            "telephone_number": "407-767-7262",
            "fax_number": "407-775-5002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 W Colonial Dr Ste 484",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613436",
            "country_code": "US",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULOSE",
        "first_name": "SHERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9269900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9269900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.