MR. FERNANDO M ULLOA APRN
NPI 1043459563
Nurse Practitioner - Adult Health in Palm Coast, FL
About Mr. Fernando M Ulloa Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. FERNANDO M ULLOA APRN (NPI 1043459563) is an individual adult health provider in Palm Coast, Florida, licensed in Florida (APRN11025366) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Mr. Fernando M Ulloa Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Fernando Ulloa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ormond Beach, FL 32174
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Oxford, FL 34484
- Reassigned Medicare billing, Florida enrollment
- 132 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Daytona Beach
Acute Care Hospitals · Daytona Beach, FLFlorida Hospital Flagler
Acute Care Hospitals · Palm Coast, FLAdventhealth Palm Coast Parkway
Acute Care Hospitals · Palm Coast, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32164 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALM COAST, FL 32164
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 Fernando Ulloa's NPI number?
The NPI number for Fernando Ulloa is 1043459563. It was assigned to this individual provider in the NPPES registry on February 5, 2009.
Where is Fernando Ulloa located?
Fernando Ulloa practices at 61 Memorial Medical Pkwy Ste 3803, Palm Coast, FL 32164. The listed phone number is (718) 721-1674.
What is Fernando Ulloa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Fernando Ulloa enrolled in Medicare?
Yes. Fernando Ulloa 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 Fernando Ulloa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Ulloa reassigns Medicare benefits to 2 organizations: Infectious Diseases Of Mid-Florida, PA (Ormond Beach, FL) and Advanced Urology Institute, LLC (Oxford, 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 Fernando Ulloa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fernando Ulloa accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Fernando Ulloa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Fernando Ulloa affiliated with any hospitals?
According to CMS data, Fernando Ulloa is affiliated with Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.
When was this NPI record last updated?
The NPPES record for Fernando Ulloa was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Fernando M Ulloa, APRN · NPI 1043459563
Adult Health physician in Palm Coast, Florida. Individual provider, active in the CMS NPPES registry since February 5, 2009.
## Identity
- **NPI:** 1043459563 (Entity type: Individual)
- **Enumerated:** February 5, 2009
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN11025366 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 61 MEMORIAL MEDICAL PKWY STE 3803, Palm Coast, FL 32164-5982
- **Phone:** (718) 721-1674
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Infectious Diseases Of Mid-Florida, PA (NPI 1396837308, Ormond Beach, FL); Advanced Urology Institute, LLC (NPI 1023447935, Oxford, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043459563) · Data from the CMS NPPES public registry.