Irene Aponte Moreno, ARNP
Individual provider Active NPI Nurse Practitioner · Lake City, FL
NPI 1922467646 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1922467646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP9393761 (FL)
- Practice address
- 440 SW Perimeter Glen
Lake City, FL 32025 - Phone
- (386) 719-9663
- Fax
- (866) 300-2396
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Pain and Rehabilitation Associates Inc
Practice addresses (Care Compare)
13945 N US Hwy 441
Lady Lake, FL 32159-8924
Phone (352) 277-3500
1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766
440 SW Perimeter GLN
Lake City, FL 32025-0497
Phone (386) 719-9663
5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080
Hospital & facility affiliations
- HCA Florida Lake City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.19 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019002598 | FL | Practitioner - Nurse Practitioner | 4183990054 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9393761 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Surgical Centers of America LLC | Current |
Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current |
Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current |
Accepting new patients | |
| National Surgical Centers of America LLC | Current |
Accepting new patients | |
| Florida Pain and Rehabilitation Institute Inc | Past | Accepting new patients |
Locations
5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500
5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300
440 SW Perimeter Gln
Lake City, FL 32025
Phone (386) 719-9663
150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000
13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500
1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766
1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- iapontemorena@nationalspine.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9393761 | FL | Yes |
| Nurse Practitioner | 363L00000X | RN9393761 | FL |
Addresses
Primary practice location
440 SW Perimeter Glen
Lake City, FL 32025
Mailing address
440 SW Perimeter Glen
Lake City, FL 32025
Phone (386) 719-9663
Other names
- Irene Aponte Divalentin
Other providers in Lake City, FL
- Rebecca Andruski
- Mychelle Angstadt
- Michael Chukwuemeka Aninyei
- Ankem Ravindra MD PA
- Apex Imaging LLC
- Kathleen Appleby-Cooper
- Apria Healthcare LLC
- Laquavia Archer
- Ricketta Tiara Arline
- Tammy Arnold
All providers in Lake City, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.