SOUAD OMRI FNP
NPI 1023828548
Nurse Practitioner in Daytona Beach, FL

Active since January 08, 2025PECOS EnrolledAccepts Medicare Assignment
305 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117(386) 615-0900 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 17, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Souad Omri Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUAD OMRI FNP (NPI 1023828548) is an individual nurse practitioner in Daytona Beach, Florida, licensed in Florida (11037650) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023828548
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSOUAD OMRICredential: FNP
Location Address305 MEMORIAL MEDICAL PKWYDaytona Beach, FL 32117-5168
Mailing Address13450 Stanton DrJacksonville, FL 32225-2656 · (904) 521-7717
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 8, 2025
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1023828548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11037650
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
305 MEMORIAL MEDICAL PKWY, Daytona Beach, FL 32117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Souad Omri Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123543501
PECOS Enrollment IDI20250417002811
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Souad Omri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
950 S DILLARD ST STE A
Winter Garden, FL 34787
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
Hospice and Palliative Medicine
8130 BAYMEADOWS WAY W STE 201
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
305 MEMORIAL MEDICAL PKWY, SUITE 308
DAYTONA BEACH, FL 32117
Internal Medicine (Cardiovascular Disease)
305 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Surgery
305 MEMORIAL MEDICAL PKWY, SUITE 205
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
305 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Internal Medicine
305 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117
Internal Medicine (Cardiovascular Disease)
305 MEMORIAL MEDICAL PKWY, SUITE 301
DAYTONA BEACH, FL 32117
Specialist
305 MEMORIAL MEDICAL PKWY, SUITE 303
DAYTONA BEACH, FL 32117
Physician Assistant (Medical)
305 MEMORIAL MEDICAL PKWY, SUITE 501
DAYTONA BEACH, FL 32117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Souad Omri's NPI number?

The NPI number for Souad Omri is 1023828548. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Souad Omri located?

Souad Omri practices at 305 Memorial Medical Pkwy, Daytona Beach, FL 32117. The listed phone number is (386) 615-0900.

What is Souad Omri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Souad Omri enrolled in Medicare?

Yes. Souad Omri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Souad Omri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Souad Omri reassigns Medicare benefits to 2 organizations: Mid-South Home Care Services, LLC (Winter Garden, FL) and Illumia Health LLC (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Souad Omri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Souad Omri was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.