Individual provider Active NPI

Jonathan Torres Pabon, APRN, FNP-C

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1831738483
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005567 Issued in FL
Practice address
22 Broadway Ste 111
Kissimmee, FL 34741-5408
Phone
(407) 502-2520
Fax
(610) 638-0835
NPI assigned
Dec 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 APRN11005567 FL Primary

Addresses

Primary practice location

22 Broadway Ste 111
Kissimmee, FL 34741-5408

Mailing address

22 Broadway Suite
111
Kissimmee, FL 34741-5863
Phone (407) 502-2520

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
I20200418000246 FL Practitioner - Nurse Practitioner 3476983271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psynergy Health Med PLLCGroup PAC ID 0749714707, 35 clinicians

Practice addresses (Care Compare)

4901 Vineland Rd
Suite 350
Orlando, FL 32811-7192
Phone (407) 469-5088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Health Med PLLC CurrentSince Sep 21, 2024 Accepting new patients

Locations

22 Broadway
Ste 111
Kissimmee, FL 34741
Phone (407) 502-2520

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1831738483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BROADWAY SUITE",
            "address_2": "111",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415863",
            "telephone_number": "407-502-2520",
            "fax_number": "610-638-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BROADWAY STE 111",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415408",
            "telephone_number": "407-502-2520",
            "fax_number": "610-638-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES PABON",
        "first_name": "JONATHAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.