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MR. SAMUEL BUSA REALISTA ARNP
NPI 1194052811
Nurse Practitioner - Family in Orlando, FL

Active since November 17, 2009PECOS EnrolledAccepts Medicare Assignment
2501 N ORANGE AVE STE 537N, ORLANDO, FL 32804(407) 894-4693 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2019, Sep 24, 2018 (2 updates tracked since 2018).

About Mr. Samuel Busa Realista Arnp NPPES

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

MR. SAMUEL BUSA REALISTA ARNP (NPI 1194052811) is an individual family provider in Orlando, Florida, licensed in Florida (ARNP9223946) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Kissimmee.

NPPES Registry Identity

NPI1194052811
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL BUSA REALISTACredential: ARNP
Location Address2501 N ORANGE AVE STE 537NOrlando, FL 32804
Mailing Address807 S Orlando Ave Ste CWinter Park, FL 32789-4870 · (407) 894-4693 · Fax (407) 261-3869
Phone(407) 894-4693
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 17, 2009
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1194052811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9223946
2501 N ORANGE AVE STE 537N, Orlando, FL 32804
Open in Google Maps ↗

Secondary Practice Location 1

Location 13251 Falcon Point DrKissimmee, FL 34741-7547 · Phone (407) 616-1111 · Fax (407) 297-8409

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. Samuel Busa Realista Arnp 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 ID547419376
PECOS Enrollment IDI20121011000015
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

6

Medicare enrollment records show Samuel Realista reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Florida Kidney Specialists Inc
5.2 mi
Nephrology
3885 OAKWATER CIR
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 49 clinicians in this Medicare group
NPI 1346954138 (407) 816-5700
Mid Florida Kidney And Hypertension Care Pl
6.8 mi
Specialist
631 PALM SPRINGS DR, STE 104
Altamonte Springs, FL 32701
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1326196908 (407) 265-2540
Nephrology Associates Of Central Florida, P.A.
7.7 mi
Nephrology
2180 W SR 434 STE 1164
Longwood, FL 32779
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1346297173 (407) 894-4693
Hasan Shahab, M.D., P.A
9.2 mi
Nephrology
10960 DYLAN LOREN CIR
Orlando, FL 32825
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1003144197 (407) 420-7952
Nephrology Partners Of Central Florida LLC
9.2 mi
Nephrology
10960 DYLAN LOREN CIR
Orlando, FL 32825
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1144686585 (407) 420-7952
Kidney & Hypertension Specialists Of Central Florida
22 mi
Nephrology
306 MOHAWK RD
Clermont, FL 34715
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1215912167 (352) 394-1361

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
268 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
14 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32804 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 3

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

LUMEN ALBERTO MENDEZ CASTANER MD
Internal Medicine (Nephrology)
2501 N ORANGE AVE STE 537N
ORLANDO, FL 32804
Orange County (407) 894-4693
JESSICA KLINE APRN
Nurse Practitioner (Acute Care)
2501 N ORANGE AVE STE 537N
ORLANDO, FL 32804
Orange County (407) 894-4693
DR. KRISTINE MARIE GUEVARRA ALMONTE MD
Internal Medicine (Nephrology)
2501 N ORANGE AVE STE 537N
ORLANDO, FL 32804
Orange County (407) 894-4693

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 Samuel Realista's NPI number?

The NPI number for Samuel Realista is 1194052811. It was assigned to this individual provider in the NPPES registry on November 17, 2009.

Where is Samuel Realista located?

Samuel Realista practices at 2501 N Orange Ave Ste 537N, Orlando, FL 32804. The listed phone number is (407) 894-4693.

What is Samuel Realista's specialty?

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

Is Samuel Realista enrolled in Medicare?

Yes. Samuel Realista 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 Samuel Realista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Realista reassigns Medicare benefits to 6 organizations: Central Florida Kidney Specialists Inc (Orlando, FL), Mid Florida Kidney And Hypertension Care Pl (Altamonte Springs, FL), Nephrology Associates Of Central Florida, P.A. (Longwood, FL), Hasan Shahab, M.D., P.A (Orlando, FL), Nephrology Partners Of Central Florida LLC (Orlando, FL) and 1 more organization, listed in the Medicare section above. 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 Samuel Realista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Realista affiliated with any hospitals?

According to CMS data, Samuel Realista is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Samuel Realista was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.