Individual provider Active NPI

Ramon Suarez Carmona, APRN

  • Gerontology Nurse Practitioner
  • North Port, FL
National Provider Identifier
1851778062
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11000196 Issued in FL
Practice address
13823 Tamiami TRL
North Port, FL 34287-2069
Phone
(941) 888-0770
Fax
(941) 888-0778
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11000196 FL Primary

Addresses

Primary practice location

13823 Tamiami TRL
North Port, FL 34287-2069

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
103951300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190913002711 FL Practitioner - Nurse Practitioner 8729317854 Reassigns benefits to 3 organizations
I20260602003809 TN Practitioner - Nurse Practitioner 8729317854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.76
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000196FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primelife Health LLC CurrentSince Jan 15, 2024 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Aug 19, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 19, 2019 Accepting new patients
Primelife Health LLC CurrentSince Jan 15, 2024 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

2621 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 220-5561

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

258 S Chickasaw Trl
Ste 200
Orlando, FL 32825
Phone (407) 303-6865

3411 W Tampa Bay Blvd
Tampa, FL 33607
Phone (813) 466-4678

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFDDD
  • Direct secure messaging: ramon.suarez.carmona.1@4290.direct.athenahealth.com

Organizations & group practices 7

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1851778062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13823 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872069",
            "telephone_number": "941-888-0770",
            "fax_number": "941-888-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ CARMONA",
        "first_name": "RAMON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11000196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103951300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.