Individual provider Active NPI

Herman Brace Deresma, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1982130928
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9302764 Issued in FL
Practice address
52 Underwood St
Orlando, FL 32806-1110
Phone
(321) 841-8727
Fax
(321) 841-4085
NPI assigned
May 11, 2017
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9302764 FL
Family Nurse Practitioner 363LF0000X APRN9302764 FL
Adult Health Nurse Practitioner 363LA2200X APRN9302764 FL Primary

Addresses

Primary practice location

52 Underwood St
Orlando, FL 32806-1110

Mailing address

52 Underwood St
Orlando, FL 32806-1110
Phone (321) 841-8727

Other practice location 1

4421 Sun N Lake Blvd Ste B
Sebring, FL 33872
Phone (863) 382-9600

Other practice location 2

515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone (407) 464-9516

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
I20180716003121 FL Practitioner - Nurse Practitioner 2062785108 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 303-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9302764FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Feb 14, 2019 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince May 1, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Small Hospital Innovations LLC CurrentSince Jan 2, 2024 Accepting new patients
Central Florida Hospitalist Partners PA CurrentSince May 15, 2022 Accepting new patients
True North Health Navigation LLC PastSince Mar 9, 2022 Accepting new patients
Unique Management Group PastSince Feb 14, 2019 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients

Locations

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

1440 Main St
Dunedin, FL 34698
Phone (727) 201-8585

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: herman.deresma.1@13869.direct.athenahealth.com

Organizations & group practices 11

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 3

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1982130928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-8727",
            "fax_number": "321-841-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-8727",
            "fax_number": "321-841-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Sun N Lake Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "33872",
            "country_code": "US",
            "telephone_number": "863-382-9600",
            "fax_number": "863-382-0107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Wekiva Commons Cir",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327123645",
            "country_code": "US",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERESMA",
        "first_name": "HERMAN",
        "middle_name": "BRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9302764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9302764",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9302764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.