Individual provider Active NPI

Christy Waldron, NP-C

  • Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1891198123
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9179243 Issued in FL
Practice address
1071 S Sun Dr
Suite 1043
Lake Mary, FL 32746-2573
Phone
(407) 302-2620
Fax
(407) 302-2690
NPI assigned
Oct 1, 2014
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9179243 FL Primary

Addresses

Primary practice location

1071 S Sun Dr
Suite 1043
Lake Mary, FL 32746-2573

Mailing address

1071 S Sun Dr
Suite 1043
Lake Mary, FL 32746-2573
Phone (407) 302-2620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHRISTY.WALDRON@hca4.eclinicaldirectplus.com

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
I20150122001529 FL Practitioner - Nurse Practitioner 0648594648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Physician Network LLCGroup PAC ID 5193895969, 10 clinicians

Practice addresses (Care Compare)

1071 S Sun Dr
1003 Heathrow OB/GYN
Lake Mary, FL 32746-2405
Phone (407) 333-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9179243FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Surgical Associates LLC CurrentSince Jan 15, 2018 Accepting new patients
Central Florida Physician Network LLC CurrentSince Nov 10, 2014 Accepting new patients

Locations

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

1071 S Sun Dr
Ste 1003
Lake Mary, FL 32746
Phone (407) 302-2620

1071 S Sun Dr
Ste 1043
Lake Mary, FL 32746
Phone (407) 333-1616

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: christy.waldron@hca4.eclinicaldirectplus.com

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 5

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1891198123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 S SUN DR",
            "address_2": "SUITE 1043",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462573",
            "telephone_number": "407-302-2620",
            "fax_number": "407-302-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 S SUN DR",
            "address_2": "SUITE 1043",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462573",
            "telephone_number": "407-302-2620",
            "fax_number": "407-302-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "CHRISTY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9179243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHRISTY.WALDRON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1071 S Sun Dr",
            "address_2": "SUITE 1043",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327462573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.