Individual provider Active NPI

Neysa M Perez Crespo, MD

  • Family Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1831750009
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME155242 Issued in FL
Practice address
1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4123
Phone
(407) 892-3387
Fax
(407) 892-7297
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT217870 PA
Family Medicine Physician 207Q00000X ME155242 FL Primary

Addresses

Primary practice location

1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4123

Mailing address

1330 Budinger Ave Ste 108
Saint Cloud, FL 34769-4123
Phone (407) 892-3387

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713004035 FL Practitioner - Family Practice 8123409752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
San Juan Bautista School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

1330 Budinger Ave
Suite 108
Saint Cloud, FL 34769-4123
Phone (407) 892-3387

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Kissimmee, FL, CCN 107422
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Amedisys Home Health Home health agency, Celebration, FL, CCN 107302
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155242FLMDFamily Medicine Physician
MT217870PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

1330 Budinger Ave
Ste 108
Saint Cloud, FL 34769
Phone (407) 892-3387

Interoperability endpoints

  • Direct secure messaging: nperezcrespo358605@orlandohealth.medalliesdirect.net

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.

Hospital & facility affiliations 7

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1831750009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 108",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-892-3387",
            "fax_number": "407-892-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 108",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-892-3387",
            "fax_number": "407-892-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CRESPO",
        "first_name": "NEYSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT217870",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME155242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.