Individual provider Active NPI

Yudelka Lopez Pampin, APRN

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1972147775
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11004224 Issued in FL
Practice address
1140 S Semoran Blvd Ste E
Orlando, FL 32807-1459
Phone
(407) 384-9165
Fax
(407) 384-9174
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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 11004224 FL Primary

Addresses

Primary practice location

1140 S Semoran Blvd Ste E
Orlando, FL 32807-1459

Mailing address

5575 S Semoran Blvd
Ste 26
Orlando, FL 32822-1781
Phone (407) 401-8637

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
I20200714000764 FL Practitioner - Nurse Practitioner 7719300466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

4614 E Michigan St
Optum Conway
Orlando, FL 32812-5233
Phone (407) 720-3780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004224FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida, LLC CurrentSince Jun 16, 2025 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince May 1, 2020 Accepting new patients
Optumcare Florida LLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

5575 S Semoran Blvd
Ste 26
Orlando, FL 32822
Phone (407) 401-8637

4614 E Michigan St
Orlando, FL 32812
Phone (407) 720-3780

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

Organizations & group practices 3

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1972147775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 S SEMORAN BLVD",
            "address_2": "STE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221781",
            "telephone_number": "407-401-8637",
            "fax_number": "407-401-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S SEMORAN BLVD STE E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071459",
            "telephone_number": "407-384-9165",
            "fax_number": "407-384-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ PAMPIN",
        "first_name": "YUDELKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.