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MS. JEANNETTE R DERITA ARNP
NPI 1528666575
Nurse Practitioner - Family in Port Orange, FL

Active since October 13, 2020PECOS EnrolledAccepts Medicare Assignment
1690 DUNLAWTON AVE STE 120, PORT ORANGE, FL 32127(386) 449-9650 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2021, Jan 14, 2021, Oct 13, 2020 (3 updates tracked since 2020).

About Ms. Jeannette R Derita Arnp NPPES

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

MS. JEANNETTE R DERITA ARNP (NPI 1528666575) is an individual family provider in Port Orange, Florida, licensed in Florida (APRN11009651) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1528666575
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JEANNETTE R DERITACredential: ARNP
Location Address1690 DUNLAWTON AVE STE 120Port Orange, FL 32127-8980
Mailing Address1690 Dunlawton Ave Ste 120Port Orange, FL 32127-8980
Phone(386) 449-9650
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 13, 2020
Last NPPES UpdateDecember 13, 20213 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1528666575 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 · APRN11009651
1690 DUNLAWTON AVE STE 120, Port Orange, FL 32127
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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

Ms. Jeannette R Derita 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 ID2668883414
PECOS Enrollment IDI20201130001201
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32127 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. AMMAR HEMAIDAN MD
Internal Medicine (Gastroenterology)
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 271-2273
TOWN CENTER MEDICAL SERVICES, LLC
Family Medicine
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 271-2273
DR. KERRY DIANE THEK M.D.
Pediatrics (Pediatric Gastroenterology)
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 677-0531
IMACS, LLC
Internal Medicine (Gastroenterology)
1690 DUNLAWTON AVE STE 120
PORT ORANGE, FL 32127
Volusia County (386) 271-2273

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 Jeannette Derita's NPI number?

The NPI number for Jeannette Derita is 1528666575. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Jeannette Derita located?

Jeannette Derita practices at 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127. The listed phone number is (386) 449-9650.

What is Jeannette Derita's specialty?

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

Is Jeannette Derita enrolled in Medicare?

Yes. Jeannette Derita 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.

Is Jeannette Derita affiliated with any hospitals?

According to CMS data, Jeannette Derita is affiliated with Adventhealth Orlando, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Jeannette Derita was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.