Individual provider Active NPI

Autumn Enrique Oakes, ARNP

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1851959407
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP11001887 Issued in FL
Practice address
461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone
(386) 671-4337
Fax
(386) 671-1127
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 ARNP11001887 FL Primary

Addresses

Primary practice location

461 S Nova Rd
Ormond Beach, FL 32174-6138

Mailing address

461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone (386) 671-4337

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
I20190711002638 FL Practitioner - Nurse Practitioner 8123353240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone (386) 671-4337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP11001887FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Mar 1, 2020 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Mar 1, 2020 Accepting new patients
MD Now Medical Centers Inc CurrentSince Oct 24, 2021 Accepting new patients
MD Now Medical Centers Inc CurrentSince Oct 24, 2021 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 29, 2024 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jul 29, 2024 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients

Locations

1000 S Ridgewood Ave
Edgewater, FL 32132
Phone (386) 220-8222

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

7925 N Wickham Rd
Ste A
Melbourne, FL 32940

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

461 S Nova Rd
Ormond Beach, FL 32174
Phone (386) 671-4337

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Networks

  • Freedom Health HMO Network

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1851959407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746138",
            "telephone_number": "386-671-4337",
            "fax_number": "386-671-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746138",
            "telephone_number": "386-671-4337",
            "fax_number": "386-671-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "AUTUMN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP11001887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.