Individual provider Active NPI

Mayra Navedo-Distaffen, ARNP-C

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1992239271
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9288357 Issued in FL
Practice address
250 S Chickasaw TRL
Orlando, FL 32825-3503
Phone
(872) 231-3162
NPI assigned
Apr 13, 2017
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9288357 FL Primary

Addresses

Primary practice location

250 S Chickasaw TRL
Orlando, FL 32825-3503

Mailing address

PO Box 7410884
Chicago, IL 60674-0884
Phone (702) 899-0595

Other practice location 1

3121 Citrus Tower Blvd
Clermont, FL 34711-6881
Phone (352) 404-5968

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
I20170516000607 FL Practitioner - Nurse Practitioner 7911284286 Reassigns benefits to 1 organization

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
Integrated Rehab Consultants Florida PLLCGroup PAC ID 4486997426, 41 clinicians

Practice addresses (Care Compare)

1120 W Donegan Ave
FL Keystone Center
Kissimmee, FL 34741-2247
Phone (407) 847-2854

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
70.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9288357FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants Florida, PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations (25 of 26)

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 519-9233

1120 W Donegan Ave
Kissimmee, FL 34741
Phone (407) 201-7749

1500 Southgate Dr
Kissimmee, FL 34746
Phone (407) 846-7201

2511 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 405-4985

320 Mitchell St
Kissimmee, FL 34741
Phone (407) 847-7200

710 N Sun Dr
Lake Mary, FL 32746
Phone (386) 789-3769

1556 Maguire Rd
Ocoee, FL 34761
Phone (407) 877-2272

14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670

1730 Lucerne Ter
Orlando, FL 32806
Phone (407) 423-1612

1900 Mercy Dr
Orlando, FL 32808
Phone (407) 299-5404

4875 Cason Cove Dr
Orlando, FL 32811
Phone (386) 344-1538

730 Courtland St
Orlando, FL 32804
Phone (407) 375-3800

7950 Lk Under Hl
Orlando, FL 32822
Phone (407) 658-2045

9311 S Orange Blossom Trl
Orlando, FL 32837
Phone (386) 362-7860

1301 Kansas Ave
Saint Cloud, FL 34769
Phone (407) 289-0530

4201 Nolte Rd
Saint Cloud, FL 34772
Phone (407) 957-3341

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

7045 Evergreen Woods Trl
Spring Hill, FL 34608
Phone (352) 596-8371

602 Laura St
Starke, FL 32091
Phone (732) 497-1150

6700 W Commercial Blvd
Tamarac, FL 33319
Phone (888) 253-3636

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

2300 Village Blvd
West Palm Beach, FL 33409
Phone (561) 478-1800

2970 Scarlet Rd
Winter Park, FL 32792
Phone (350) 250-2435

Organizations & group practices 1

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1992239271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410884",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740884",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S CHICKASAW TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253503",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121 Citrus Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116881",
            "country_code": "US",
            "telephone_number": "352-404-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVEDO-DISTAFFEN",
        "first_name": "MAYRA",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9288357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.