YOANDRIS ODUARDO VICTORIA
NPI 1164813531
Nurse Practitioner - Family in Tampa, FL

Active since February 06, 2015PECOS EnrolledAccepts Medicare Assignment
12020 MIDLAKE DR, TAMPA, FL 33612(786) 720-8620(813) 755-4205 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Nov 17, 2022, Aug 13, 2020 (3 updates tracked since 2020).

About Yoandris Oduardo Victoria NPPES

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

YOANDRIS ODUARDO VICTORIA (NPI 1164813531) is an individual family provider in Tampa, Florida, licensed in Florida (APRN9409003) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164813531
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameYOANDRIS ODUARDO VICTORIA
Location Address12020 MIDLAKE DRTampa, FL 33612-4074
Mailing Address12020 Midlake DrTampa, FL 33612-4074 · (786) 720-8620 · Fax (813) 755-4205
Fax(813) 755-4205
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 6, 2015
Last NPPES UpdateMarch 27, 20243 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
NPI 1164813531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN9409003
Also ListedSocial WorkerTaxonomy 104100000X
12020 MIDLAKE DR, Tampa, FL 33612

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

Yoandris Oduardo Victoria 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 ID2264852540
PECOS Enrollment IDI20240305002646
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
46 services14 patients
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less 15272
This procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.
38 services13 patients
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275
This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
29 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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

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

Clinic/Center (Health Service)
12020 MIDLAKE DR
TAMPA, FL 33612

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 Yoandris Oduardo Victoria's NPI number?

The NPI number for Yoandris Oduardo Victoria is 1164813531. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Yoandris Oduardo Victoria located?

Yoandris Oduardo Victoria practices at 12020 Midlake Dr, Tampa, FL 33612. The listed phone number is (786) 720-8620.

What is Yoandris Oduardo Victoria's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Yoandris Oduardo Victoria enrolled in Medicare?

Yes. Yoandris Oduardo Victoria 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.

When was this NPI record last updated?

The NPPES record for Yoandris Oduardo Victoria was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.