Individual provider Active NPI

Cesar Javier Rivera Collet, APRN

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1871325894
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033278 Issued in FL
Practice address
17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619
Phone
(863) 588-4775
Fax
(863) 422-7664
NPI assigned
Aug 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 11033278 FL Primary

Addresses

Primary practice location

17075 Cagan Ridge Blvd Ste 100
Clermont, FL 34714-9619

Mailing address

PO Box 878
Davenport, FL 33836-0878
Phone (689) 223-3898

Other practice location 1

106 Park Place Blvd Ste C
Davenport, FL 33837-6868
Phone (863) 422-7664

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
I20241111001973 FL Practitioner - Nurse Practitioner 1951835131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Medical Group LLCGroup PAC ID 1153614623, 8 clinicians

Practice addresses (Care Compare)

1117 S Semoran Blvd
Orlando, FL 32807-1480
Phone (407) 930-1112

715 E Vine St
Suite 1
Kissimmee, FL 34744-4232
Phone (407) 930-1112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033278FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soni Family Practice, PLLC CurrentSince Feb 9, 2026 Accepting new patients
SFP PC Holdings, Inc. CurrentSince Feb 9, 2026 Accepting new patients
Advantage Medical Group LLC Family CurrentSince Sep 24, 2024 Accepting new patients
Life Rehab and Wellness Center LLC Past Accepting new patients

Locations

17075 Cagan Ridge Blvd
Ste 100
Clermont, FL 34714

106 Park Place Blvd
Ste C
Davenport, FL 33837
Phone (863) 422-7664

715 E Vine St
Kissimmee, FL 34744
Phone (407) 930-1112

715 E Vine St
Ste 12
Kissimmee, FL 34744

1117 S Semoran Blvd
Orlando, FL 32807
Phone (407) 930-1112

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1871325894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338360878",
            "telephone_number": "689-223-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 CAGAN RIDGE BLVD STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149619",
            "telephone_number": "863-588-4775",
            "fax_number": "863-422-7664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 PARK PLACE BLVD STE C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376868",
            "country_code": "US",
            "telephone_number": "863-422-7664",
            "fax_number": "863-422-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA COLLET",
        "first_name": "CESAR",
        "middle_name": "JAVIER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.