Individual provider Active NPI

Yeny Valladares Gonzalez, APRN

  • Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1942890595
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11010564 Issued in FL
Practice address
1511 Buenos Aires Blvd Ste a
The Villages, FL 32159-8974
Phone
(352) 259-2159
Fax
(352) 259-5731
NPI assigned
Jan 18, 2021
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 11010564 FL Primary

Addresses

Primary practice location

1511 Buenos Aires Blvd Ste a
The Villages, FL 32159-8974

Mailing address

1511 Buenos Aires Blvd Ste a
The Villages, FL 32159-8974
Phone (352) 259-2159

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
I20210730002916 FL Practitioner - Nurse Practitioner 3678976453 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010564FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Oct 1, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Oct 1, 2024 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Oct 1, 2024 Accepting new patients
Premier Specialty Care LLC CurrentSince Apr 1, 2026 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Oct 1, 2024 Accepting new patients
Affinity Global Management LLC CurrentSince Jun 1, 2021 Accepting new patients
Premier Specialty Alliance Inc CurrentSince Oct 1, 2024 Accepting new patients
Elyaman Medical Services PA CurrentSince Sep 30, 2024 Accepting new patients

Locations

910 W Vine St
Kissimmee, FL 34741
Phone (407) 902-7069

1720 SE 16th Ave
Ste 304
Ocala, FL 34471
Phone (352) 559-0354

1800 SE 17th St
Ste 700
Ocala, FL 34471
Phone (352) 789-6008

3306 SW 26th Ave
Ste 200
Ocala, FL 34471

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

9311 SW Highway 200
Ocala, FL 34481
Phone (352) 561-3222

8958 Conroy Windermere Rd
Orlando, FL 32835
Phone (321) 430-1265

7771 W Oakland Park Blvd
Ste 150
Sunrise, FL 33351
Phone (800) 279-0667

1511 Buenos Aires Blvd
The Villages, FL 32159

1511 Buenos Aires Blvd
Ste A
The Villages, FL 32159
Phone (352) 753-6846

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste 150
The Villages, FL 32159

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1942890595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 BUENOS AIRES BLVD STE A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598974",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 BUENOS AIRES BLVD STE A",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598974",
            "telephone_number": "352-259-2159",
            "fax_number": "352-259-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES GONZALEZ",
        "first_name": "YENY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.