DAIRIS LOPEZ FROMETA
NPI 1508612615
Nurse Practitioner - Family in Jacksonville, FL
About Dairis Lopez Frometa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAIRIS LOPEZ FROMETA (NPI 1508612615) is an individual family provider in Jacksonville, Florida, licensed in Florida (11032531) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dairis Lopez Frometa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dairis Lopez Frometa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32210
- Reassigned Medicare billing, Florida enrollment
- 47 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32211
JACKSONVILLE, FL 32211
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 Dairis Lopez Frometa's NPI number?
The NPI number for Dairis Lopez Frometa is 1508612615. It was assigned to this individual provider in the NPPES registry on April 29, 2024.
Where is Dairis Lopez Frometa located?
Dairis Lopez Frometa practices at 1100 Cesery Blvd, Jacksonville, FL 32211. The listed phone number is (904) 551-5884.
What is Dairis Lopez Frometa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dairis Lopez Frometa enrolled in Medicare?
Yes. Dairis Lopez Frometa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dairis Lopez Frometa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dairis Lopez Frometa reassigns Medicare benefits to American Care Of North Florida, Inc (Jacksonville, FL). The 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 Dairis Lopez Frometa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dairis Lopez Frometa was last updated on June 14, 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.
# Dairis Lopez Frometa · NPI 1508612615
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 29, 2024.
## Identity
- **NPI:** 1508612615 (Entity type: Individual)
- **Enumerated:** April 29, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11032531 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 CESERY BLVD, Jacksonville, FL 32211-5674
- **Phone:** (904) 551-5884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Care Of North Florida, Inc (NPI 1053679787, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508612615) · Data from the CMS NPPES public registry.