MR. SAMUEL BUSA REALISTA (ARNP) – Family Nurse Practitioner, NPI 1194052811

MR. SAMUEL BUSA REALISTA (ARNP) is a healthcare provider. based in Winter park, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP9223946 (FL). The NPI Number for MR. SAMUEL BUSA REALISTA (ARNP) is 1194052811

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAMUEL BUSA REALISTA (ARNP)
NPI
1194052811
Phone
(407) 894-4693
Address
807 S ORLANDO AVE STE C
Enumeration Date
17 November 2009
Last Update Date
9 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078944693
Graduation Year
2014 (12 years ago)
PAC ID
0547419376
Group Practice PAC ID
2567359375
Professional Enrollment ID
I20121011000015
Address ID
FL328044674OR2501XAVEX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MR. SAMUEL BUSA REALISTA (ARNP)

  • 807 S ORLANDO AVE STE C

    WINTER PARK, FL 327894870

    Phone: (407) 894-4693

    Fax: (407) 261-3869

    Type: Mailing

  • 3251 Falcon Point Dr

    Kissimmee, FL 347417547

    Phone: (407) 616-1111

    Fax: (407) 297-8409

    Type: Location

  • 2501 N ORANGE AVE STE 537N

    ORLANDO, FL 32804

    Phone: (407) 894-4693

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $936.

Total Amount is formed as General ($936) + Research ($0) + Ownership ($0) = $936.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Ascendis Pharma Inc ($207).

Total Amount

$936

General + Research + Ownership

Payments

8

Total payment records

General Amount

$936

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121011000015INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes264128$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 32789)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567359375View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nurse PractitionerFL
-FL
Internal MedicineFL
N E P H R O L O G YFL
N E P H R O L O G YFL
N E P H R O L O G YFL
Physician AssistantFL
N E P H R O L O G YFL
Internal Medicine, NephrologyFL

Reviews

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Frequently asked questions

What identifier follows MR. SAMUEL BUSA REALISTA (ARNP) across health systems?
The NPI 1194052811 uniquely identifies MR. SAMUEL BUSA REALISTA (ARNP) in U.S. healthcare data.
Is MR. SAMUEL BUSA REALISTA (ARNP)'s NPI status active today?
Active status means MR. SAMUEL BUSA REALISTA (ARNP)'s NPI record is not deactivated in the public file.
How should patients interpret MR. SAMUEL BUSA REALISTA (ARNP)'s specialty?
The extract shows Family Nurse Practitioner for MR. SAMUEL BUSA REALISTA (ARNP). Clinical services aligned with this taxonomy classification.
What city is tied to MR. SAMUEL BUSA REALISTA (ARNP)?
The directory associates MR. SAMUEL BUSA REALISTA (ARNP) with Winter Park, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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