Individual provider Active NPI

Deborah Pittenger Tedesco, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1912956095
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN2751012 Issued in FL
Practice address
265 E Rollins St Ste 5300
Orlando, FL 32804-5519
Phone
(407) 821-3555
NPI assigned
May 8, 2006
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2751012 FL
Adult Health Nurse Practitioner 363LA2200X APRN2751012 FL Primary

Addresses

Primary practice location

265 E Rollins St Ste 5300
Orlando, FL 32804-5519

Mailing address

265 E Rollins St Ste 5300
Orlando, FL 32804-5519
Phone (407) 821-3555

Other practice location 1

265 E Rollins St Fl 5
Orlando, FL 32804-5519
Phone (407) 821-3555

Other identifiers 4

IdentifierTypeStateIssuer
500025318OtherFLRAILROAD MEDICARE
304096800MedicaidFL
ARNP2751012OtherFLMEDICAL LICENSE
Y0691OtherFLBCBS

Other names 1

  • Deborah Pittenger Cordrey Former name

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
I20070310000013 FL Practitioner - Nurse Practitioner 7810951662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Aug 26, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 15, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 26, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 15, 2017 Accepting new patients
Central Florida Wound & Skin Consultants,Inc. PastSince Dec 1, 1999 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

515 W State Road 434
Ste 101
Longwood, FL 32750
Phone (407) 767-5843

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

265 E Rollins St
Fl 5
Orlando, FL 32804
Phone (407) 821-3555

265 E Rollins St
Ste 5300
Orlando, FL 32804
Phone (407) 539-2766

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dtedesco1106924@adventhealth.direct-ci.com

Organizations & group practices 5

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1912956095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 5300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045519",
            "telephone_number": "407-821-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 5300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045519",
            "telephone_number": "407-821-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 E Rollins St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045519",
            "country_code": "US",
            "telephone_number": "407-821-3555",
            "fax_number": "407-821-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "DEBORAH",
        "middle_name": "PITTENGER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2751012",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2751012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500025318",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304096800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP2751012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0691",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CORDREY",
            "middle_name": "PITTENGER",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.