Individual provider Active NPI

Maria Agueda Babette Punzalan, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1992220388
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9335904 Issued in FL
Practice address
8725 Irmastone Way
Orlando, FL 32817-2535
Phone
(407) 657-7971
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9335904 FL Primary

Addresses

Primary practice location

8725 Irmastone Way
Orlando, FL 32817-2535

Mailing address

8725 Irmastone Way
Orlando, FL 32817-2535
Phone (407) 497-9696

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
I20220517003237 FL Practitioner - Nurse Practitioner 9032596861 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain and Rehabilitation Associates IncGroup PAC ID 6204732605, 69 clinicians

Practice addresses (Care Compare)

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9335904FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
National Surgical Centers of America LLC CurrentSince Apr 1, 2022 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Apr 1, 2022 Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

1530 Citrus Medical Ct
Ste 101
Ocoee, FL 34761
Phone (321) 320-8790

1170 S Semoran Blvd
Orlando, FL 32807
Phone (407) 622-7246

5948 Turkey Lake Rd
Orlando, FL 32819
Phone (407) 228-8080

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1992220388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 IRMASTONE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172535",
            "telephone_number": "407-497-9696",
            "fax_number": "407-657-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 IRMASTONE WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172535",
            "telephone_number": "407-657-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "MARIA AGUEDA",
        "middle_name": "BABETTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9335904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.