DELAND PRIMARY CARE AND AESTHETICS LLC
NPI 1457127615
Nurse Practitioner - Family in Deland, FL

Active since November 29, 2023
131 E NEW YORK AVE FL 3, STE A, DELAND, FL 32724(386) 202-1401 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Deland Primary Care And Aesthetics Llc NPPES

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

DELAND PRIMARY CARE AND AESTHETICS LLC (NPI 1457127615) is a healthcare organization registered as a family in Deland, Florida and active in the NPI registry since November 2023. The organization lists Sharon Yelle, Owner, as its authorized official.

NPPES Registry Identity

NPI1457127615
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDELAND PRIMARY CARE AND AESTHETICS LLC
Location Address131 E NEW YORK AVE FL 3, STE ADeland, FL 32724
Mailing Address945 Glenwood RdDeland, FL 32720-2376
Organization SubpartNo
Authorized OfficialSharon YelleOwner · (386) 202-1401
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1457127615 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
131 E NEW YORK AVE FL 3, Deland, FL 32724

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deland Primary Care And Aesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deland Primary Care And Aesthetics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1255730008
1431 ORANGE CAMP RD STE 115
Deland, FL 32724
(386) 202-1401
✔ PECOS✔ Accepts Medicare3.9 mi

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

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 Deland Primary Care And Aesthetics LLC's NPI number?

The NPI number for Deland Primary Care And Aesthetics LLC is 1457127615. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Deland Primary Care And Aesthetics LLC located?

Deland Primary Care And Aesthetics LLC is located at 131 E New York Ave Fl 3 Ste A, Deland, FL 32724. The listed phone number is (386) 202-1401.

What is Deland Primary Care And Aesthetics LLC's specialty?

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

Is Deland Primary Care And Aesthetics LLC enrolled in Medicare?

Yes. Deland Primary Care And Aesthetics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deland Primary Care And Aesthetics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Deland Primary Care And Aesthetics LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deland Primary Care And Aesthetics LLC was last updated on November 29, 2023. 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.