Individual provider Active NPI

Maria Morena A. Luna, ARNP

  • Adult Health Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1902259625
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 2998012 Issued in FL
Practice address
305 N Mangoustine Ave
Suite 200
Sanford, FL 32771-1004
Phone
(407) 321-1415
Fax
(407) 321-1597
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 2998012 FL Primary

Addresses

Primary practice location

305 N Mangoustine Ave
Suite 200
Sanford, FL 32771-1004

Mailing address

305 N Mangoustine Ave
Suite 200
Sanford, FL 32771-1004
Phone (407) 321-1415

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 2998012OtherFLADVANCED REGISTERED NURSE PRACTITIONER

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
I20170427000874 FL Practitioner - Nurse Practitioner 7416234521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2998012FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Volusia Healthcare Corporation CurrentSince Aug 16, 2021 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Nov 4, 2024 Accepting new patients
Southwest Volusia Healthcare Corporation CurrentSince Aug 16, 2021 Accepting new patients

Locations

1035 Town Center Dr
Orange City, FL 32763
Phone (386) 775-8229

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mluna73320@adventhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1902259625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE",
            "address_2": "SUITE 200",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-321-1415",
            "fax_number": "407-321-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE",
            "address_2": "SUITE 200",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-321-1415",
            "fax_number": "407-321-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "MARIA MORENA",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 2998012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED REGISTERED NURSE PRACTITIONER",
            "identifier": "ARNP 2998012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.