Individual provider Active NPI

Wendilys Cruz Fontanez, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1942093976
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F05250267 Issued in FL
Practice address
1804 Oakley Seaver Dr
Clermont, FL 34711-1925
Phone
(407) 499-0755
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F05250267 FL Primary

Addresses

Primary practice location

1804 Oakley Seaver Dr
Clermont, FL 34711-1925

Mailing address

9673 Violet Dr
Orlando, FL 32824-8777
Phone (407) 777-7474

Other practice location 1

9673 Violet Dr
Orlando, FL 32824-8777
Phone (407) 777-7474

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
I20250822000901 FL Practitioner - Nurse Practitioner 8123528338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Spine and Pain InstituteGroup PAC ID 7012294556, 14 clinicians

Practice addresses (Care Compare)

1804 Oakley Seaver Dr
Suite F
Clermont, FL 34711-1925
Phone (407) 499-0755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F05250267FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Spine & Pain Institute CurrentSince Jun 23, 2025 Accepting new patients

Locations

1804 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 989-5838

1804 Oakley Seaver Dr
Ste F
Clermont, FL 34711
Phone (407) 499-0755

410 Lionel Way
Ste 202
Davenport, FL 33837
Phone (407) 499-0755

5200 Davisson Ave
Ste B
Orlando, FL 32810
Phone (407) 300-1188

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1942093976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9673 VIOLET DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328248777",
            "telephone_number": "407-777-7474",
            "fax_number": "407-777-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "407-499-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9673 Violet Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328248777",
            "country_code": "US",
            "telephone_number": "407-777-7474",
            "fax_number": "407-777-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ FONTANEZ",
        "first_name": "WENDILYS",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F05250267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.