Christena Lynn Pellett, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS17267 Issued in FL

Practice address

5555 E Michigan St Ste 103
Orlando, FL 32822-2700

Phone

(407) 456-2977

Fax

(407) 745-4688

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Medical Homes, LLCGroup PAC ID 0042100372, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpellett@yourcarecommunity.org
• FHIR API: https://fhir4.healow.com/fhir/r4/BEGCAA
• Direct secure messaging: cpellet@ofwc-fl.direct.office.nextgen.com

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.

• Northwest Medical Homes, LLC

  • Family Medicine Physician
  • Springfield, OR
  • NPI 1114974946
  Medicare reassignment Care Compare group NPD
• Northwest Medical Homes, LLC

  • Family Medicine Physician
  • Springfield, OR
  • NPI 1114396199
  NPD
• Northwest Medical Homes, LLC

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1174053094
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1912439837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E MICHIGAN ST STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222700",
            "telephone_number": "407-456-2977",
            "fax_number": "407-745-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E MICHIGAN ST STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222700",
            "telephone_number": "407-456-2977",
            "fax_number": "407-745-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101629",
            "country_code": "US",
            "telephone_number": "727-384-7727",
            "fax_number": "727-341-4886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETT",
        "first_name": "CHRISTENA",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpellet@OFWC-FL.direct.office.nextgen.com",
            "affiliation": "Y",
            "endpointDescription": "Secure Direct Message",
            "affiliationName": "April R. Smith LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "5555 E Michigan St",
            "address_2": "Suite 103",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328222700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Pelham-Jones, MSW INTERN
• Pelican Beach Inc
• Esther Luc Pelissier, APRN
• Carlos Manuel Pellecier III
• Mario Emilio Pelletier, M.D.
• Yaima De la Caridad Pellon
• Stanley Peltz, PTA
• Leslie Maryann Pemberton, PHARMD
• Andrea Valentina Pena Colombini I
• Pedro Pena Cuesta Jr.

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.