Fermin Francisco Reyes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11010637 Issued in FL

Practice address

2970 University Pkwy Ste 202
Sarasota, FL 34243-2401

Phone

(941) 242-0934

NPI assigned

Oct 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wave Medical Center IncGroup PAC ID 9133501539, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wave Medical Center Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1134855976
  Medicare reassignment Care Compare group NPD
• La Salud Medical Center Inc

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1265888457
  Medicare reassignment NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1982367769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 UNIVERSITY PKWY STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432401",
            "telephone_number": "941-242-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 UNIVERSITY PKWY STE 202",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432401",
            "telephone_number": "941-242-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "FERMIN",
        "middle_name": "FRANCISCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2970 University Pkwy Ste 202",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342432401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Marie Revels, ARNP
• Revitalize Chiropractic LLC
• Revitalized Health
• Revival Health
• Ashley Reyes
• Melissa Reyes
• Walter Reyes
• Rosyln Reynolds-Brescia
• Kathryn H. Reynolds, NP
• Virginia Munson Reynolds, LMHC

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.