JAMES RICHARD FOLEY NP
NPI 1194499822
Nurse Practitioner - Adult Health in Orlando, FL
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, maintains a secondary practice location in Kissimmee, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show James Foley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orlando, FL 32806
- Reassigned Medicare billing, Florida enrollment
- 3,290 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 clinicians in this Medicare group
- Reassigned Medicare billing, Florida enrollment
- 45 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.
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.
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.
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.
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.
ORLANDO, FL 32806
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.
Which organizations bill Medicare for James Foley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Foley reassigns Medicare benefits to 3 organizations: Orlando Health Medical Group Inc (Orlando, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL) and Kopa LLC (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 James Foley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Foley accept?
Health plans from Oscar Health, 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.
# James Richard Foley, NP · NPI 1194499822
Adult Health physician in Orlando, Florida. Individual provider, active in the CMS NPPES registry since August 5, 2021.
## Identity
- **NPI:** 1194499822 (Entity type: Individual)
- **Enumerated:** August 5, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN11023185 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 52 W UNDERWOOD ST, Orlando, FL 32806-1110
- **Phone:** (321) 841-3516 · **Fax:** (321) 843-5177
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Orlando Health Medical Group Inc (NPI 1669429577, Orlando, FL); Emergency Medicine Services Of Fl, LLC (NPI 1043917180, Aventura, FL); Kopa LLC (FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 5, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1194499822) · Data from the CMS NPPES public registry.