Individual provider Active NPI

Irene Aponte Moreno, ARNP

  • Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1922467646
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9393761 Issued in FL
Practice address
440 SW Perimeter Glen
Lake City, FL 32025
Phone
(386) 719-9663
Fax
(866) 300-2396
NPI assigned
Feb 23, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP9393761 FL Primary
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 1

  • Irene Aponte Divalentin 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
I20171019002598 FL Practitioner - Nurse Practitioner 4183990054 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9393761FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc Current Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Jun 19, 2017 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 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 A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: iapontemorena@nationalspine.emadirect.md

Organizations & group practices 8

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 1

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922467646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SW PERIMETER GLEN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-719-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SW PERIMETER GLEN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-719-9663",
            "fax_number": "866-300-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APONTE MORENO",
        "first_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9393761",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9393761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "DIVALENTIN",
            "middle_name": "APONTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.