Unknown Individual – Family Nurse Practitioner, NPI 1316489669
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
250 WHITE DOGWOOD LANE
OCOE, FL 347614878
Phone: (850) 509-3888
Type: Mailing
250, White Dogwood Lane, Village of Wesmere, Ocoee, Orange County, Florida, 34761, United States
OCOEE, FL 347614878
Phone: (850) 509-3888
Type: Location
2110 W SUNSET BLVD STE M
LOS ANGELES, CA 900267318
Phone: (833) 873-2852
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Organon LLC ($46).
Total Amount
$107
General + Research + Ownership
Payments
5
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $46 |
| ABBVIE INC. | $25 |
| Ferring Pharmaceuticals Inc. | $22 |
| Exact Sciences Corporation | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 185 | 161 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 175 | 163 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 34761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Nurse Practitioner | MD | |
| - | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Nurse Practitioner | FL |
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