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MR. FERNANDO M ULLOA APRN
NPI 1043459563
Nurse Practitioner - Adult Health in Palm Coast, FL

Active since February 05, 2009PECOS EnrolledAccepts Medicare Assignment
61 MEMORIAL MEDICAL PKWY STE 3803, PALM COAST, FL 32164(718) 721-1674 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2025, Jun 12, 2024 (2 updates tracked since 2024).

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

NPI1043459563
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. FERNANDO M ULLOACredential: APRN
Location Address61 MEMORIAL MEDICAL PKWY STE 3803Palm Coast, FL 32164-5982
Mailing AddressPo Box 350137Palm Coast, FL 32135-0137 · (718) 721-1674
Phone(718) 721-1674
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 5, 2009
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1043459563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11025366
Also ListedRegistered NurseTaxonomy 163W00000X · License 574074-1 (NY), RN9623430 (FL)
61 MEMORIAL MEDICAL PKWY STE 3803, Palm Coast, FL 32164
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6103350780
PECOS Enrollment IDI20241115001196
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.

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, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician 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.

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.

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.

What insurance does Fernando Ulloa accept?

Health plans from Oscar Health Maintenance Organization of Florida 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 with the weekly NPPES data releases published by CMS.