Individual provider Active NPI

Deja Duclos, APRN

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1851908859
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037065 Issued in FL
Practice address
11557 Via Lucerna Cir
Windermere, FL 34786-6077
Phone
(407) 692-2622
NPI assigned
Sep 24, 2020
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 APRN11037065 FL Primary

Addresses

Primary practice location

11557 Via Lucerna Cir
Windermere, FL 34786-6077

Mailing address

11557 Via Lucerna Cir
Windermere, FL 34786-6077
Phone (407) 692-2622

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
I20251229001203 FL Practitioner - Nurse Practitioner 2466948591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1451 Haven Dr
Oviedo, FL 32765-5286

15725 Coillo Pines Lane
Montverde, FL 34786

2135 S Congress Ave
Suite 4a
Palm Springs, FL 33406-7611

3047 Casa Rio CT
Riviera Beach, FL 33418-6508

3705 S Hwy 27
Clermont, FL 34711-8067

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11037065FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob Medical Associates LLC CurrentSince Dec 17, 2025 Accepting new patients
Caring Hearts Family Medical Centers, LLC CurrentSince Sep 20, 2025 Accepting new patients

Locations

14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670

1743 Park Center Dr
Ste 300
Orlando, FL 32835
Phone (407) 378-7169

2135 S Congress Ave
Ste 4A
Palm Springs, FL 33406
Phone (561) 719-5085

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1851908859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11557 VIA LUCERNA CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866077",
            "telephone_number": "407-692-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11557 VIA LUCERNA CIR",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866077",
            "telephone_number": "407-692-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "DEJA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.