1. Home
  2. Directory
  3. Florida
  4. Longwood
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JANELLA SAN JUAN
NPI 1639577422
Nurse Practitioner - Psychiatric/Mental Health in Longwood, FL

Active since December 11, 2014PECOS EnrolledAccepts Medicare Assignment
1155 W SR 434 # 150, LONGWOOD, FL 32750(407) 917-3253(855) 350-5708 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Jul 14, 2023, Feb 3, 2020 (3 updates tracked since 2020).

About Janella San Juan NPPES

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

JANELLA SAN JUAN (NPI 1639577422) is an individual psychiatric/mental health provider in Longwood, Florida, licensed in Florida (APRN11004193) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639577422
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJANELLA SAN JUAN
Location Address1155 W SR 434 # 150Longwood, FL 32750-4987
Mailing Address1155 W State Road 434 Ste 115Longwood, FL 32750-4965
Phone(407) 917-3253
Fax(855) 350-5708
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 11, 2014
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1639577422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11004193✔ Licensed in NC · 5022105✔ Licensed in CA · 95020218✔ Licensed in IL · 209.034205
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN9386595 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11004193 (FL)
1155 W SR 434 # 150, Longwood, FL 32750
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Janella San Juan 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 ID1456721414
PECOS Enrollment IDI20230109000724
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 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.

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 Janella San Juan's NPI number?

The NPI number for Janella San Juan is 1639577422. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Janella San Juan located?

Janella San Juan practices at 1155 W Sr 434 # 150, Longwood, FL 32750. The listed phone number is (407) 917-3253.

What is Janella San Juan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Janella San Juan enrolled in Medicare?

Yes. Janella San Juan 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 Janella San Juan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Providence Health Plan and 1 other insurer list Janella San Juan 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 Janella San Juan was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.