Individual provider Active NPI

Felipe Elias MC Innis Meneses, P.A.

  • Physician Assistant
  • Winter Park, FL
National Provider Identifier
1881555456
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2876-P.A. Issued in PR
Practice address
1344 Indiana Ave
Winter Park, FL 32789-4818
Phone
(689) 316-4933
NPI assigned
Nov 21, 2025
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2876-P.A. PR Primary
Surgical Physician Assistant 363AS0400X 2876-P.A. PR
Surgical Assistant 246ZC0007X 25-316 FL

Addresses

Primary practice location

1344 Indiana Ave
Winter Park, FL 32789-4818

Mailing address

1344 Indiana Ave
Winter Park, FL 32789-4818
Phone (689) 316-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25-316FLMDSurgical Assistant
2876-P.A.PRMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1881555456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 INDIANA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894818",
            "telephone_number": "689-316-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 INDIANA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894818",
            "telephone_number": "689-316-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC INNIS MENESES",
        "first_name": "FELIPE",
        "middle_name": "ELIAS",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2876-P.A.",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "2876-P.A.",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "25-316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.