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JAMES RICHARD FOLEY NP
NPI 1194499822
Nurse Practitioner - Adult Health in Orlando, FL

Active since August 05, 2021PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
52 W UNDERWOOD ST, ORLANDO, FL 32806(321) 841-3516(321) 843-5177 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Nov 22, 2022, Aug 5, 2021 (3 updates tracked since 2021).

About James Richard Foley Np NPPES

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

JAMES RICHARD FOLEY NP (NPI 1194499822) is an individual adult health provider in Orlando, Florida, licensed in Florida (APRN11023185) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194499822
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJAMES RICHARD FOLEYCredential: NP
Location Address52 W UNDERWOOD STOrlando, FL 32806-1110
Mailing Address52 W Underwood StOrlando, FL 32806-1110 · (321) 841-3516 · Fax (321) 843-5177
Phone(321) 841-3516
Fax(321) 843-5177
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 5, 2021
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1194499822 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 · APRN11023185
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 29028 (FL), 29028 (TN)
52 W UNDERWOOD ST, Orlando, FL 32806
Open in Google Maps ↗

Accepted Insurance

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

James Richard Foley Np 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 ID2961808142
PECOS Enrollment IDI20230105001872
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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.

MANDIP KAUR ARNP
Nurse Practitioner (Psychiatric/Mental Health)
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (407) 262-2220
MS. HELEN F. PHIPPS NP
Nurse Practitioner
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (352) 343-1341
AMANDA GABRIELE HERMIDA RN
Nurse Anesthetist, Certified Registered
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5111
DR. JOSEPH N FOSS MD
Radiology (Diagnostic Radiology)
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 842-8475
KRISHNA KUMAR D.O.
Radiology (Diagnostic Radiology)
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 842-8475
SIMONE LEMAR GOWIE-JEROME ARNP
Nurse Practitioner (Family)
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-6229
NUGMA CHADHA MD
Internal Medicine
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-3581
DR. LARA WOLFENDEN AGACNP
Nurse Practitioner (Adult Health)
52 W UNDERWOOD ST
ORLANDO, FL 32806
Orange County (321) 841-5111

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 James Foley's NPI number?

The NPI number for James Foley is 1194499822. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is James Foley located?

James Foley practices at 52 W Underwood St, Orlando, FL 32806. The listed phone number is (321) 841-3516.

What is James Foley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is James Foley enrolled in Medicare?

Yes. James Foley 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 James Foley accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list James Foley 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.

When was this NPI record last updated?

The NPPES record for James Foley was last updated on March 5, 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.