Individual provider Active NPI

Edel Herranz

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1891495453
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025150 Issued in FL
Practice address
1500 Beville Rd Ste 105
Daytona Beach, FL 32114-5644
Phone
(386) 328-9217
NPI assigned
Mar 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11025150 FL Primary

Addresses

Primary practice location

1500 Beville Rd Ste 105
Daytona Beach, FL 32114-5644

Mailing address

2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198
Phone (904) 797-5740

Other identifiers 1

IdentifierTypeStateIssuer
EDOH4420ZMedicaidFL

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
I20231121000311 FL Practitioner - Nurse Practitioner 1254789878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

644 W Plymouth Ave
Deland, FL 32720-3260
Phone (386) 873-3700

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025150FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC Single Specialty CurrentSince Nov 6, 2023 Accepting new patients
Roy H Hinman MD PA Single Specialty PastSince May 24, 2021 Accepting new patients
Lina L Feaster PA Single Specialty PastSince Jan 2, 2004 Accepting new patients

Locations

1737 N Clyde Morris Blvd
Ste 150
Daytona Beach, FL 32117
Phone (386) 256-2370

1500 Beville Rd
Ste 105
Daytona Beach, FL 32114
Phone (386) 213-4148

644 W Plymouth Ave
Deland, FL 32720
Phone (386) 410-4926

902 N Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 663-3003

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1891495453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198",
            "telephone_number": "904-797-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BEVILLE RD STE 105",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145644",
            "telephone_number": "386-328-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRANZ",
        "first_name": "EDEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EDOH4420Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.