Active NPI
Ricardo Lascelles Llewellyn, APRN
- Acute Care Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11005947
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 303-7283
- NPI assigned
- Feb 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11005947 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
326 N Mills Ave
Orlando, FL 32803-5734
Phone (407) 841-1100
Other practice location 1
1115 E Ridgewood St
Orlando, FL 32803-5443
Phone (407) 841-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106759200 | Medicaid | FL |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2415 N Orange Ave
Suite 402
Orlando, FL 32804-5505
Phone (407) 622-0560
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005947 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Pulmonary Group PA | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
610 Jasmine Rd
Altamonte Springs, FL 32701
Phone (407) 385-1332
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
326 N Mills Ave
Orlando, FL 32803
Phone (407) 841-1100
2415 N Orange Ave
Ste 402
Orlando, FL 32804
Phone (407) 303-5815
1115 E Ridgewood St
Orlando, FL 32803
Phone (407) 841-1100
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rllewellyn127787@adventhealth.direct-ci.com
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Pulmonary Disease Physician
- Orlando, FL
- NPI 1104805951
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1992338412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035734",
"telephone_number": "407-841-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-303-7283"
}
],
"practiceLocations": [
{
"address_1": "1115 E Ridgewood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328035443",
"country_code": "US",
"telephone_number": "407-841-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LLEWELLYN",
"first_name": "RICARDO",
"middle_name": "LASCELLES",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11005947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106759200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.