IVONNE LILIANA PERALTA APRN - NPI 1669304952 - Nurse Practitioner in Jacksonville, FL

Q: What is Ivonne Peralta's NPI number?

The NPI number for Ivonne Peralta is 1669304952. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Q: What is Ivonne Peralta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ivonne Peralta was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ivonne Liliana Peralta Aprn NPPES

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

IVONNE LILIANA PERALTA APRN (NPI 1669304952) is an individual family provider in Jacksonville, Florida, licensed in Florida (11045757) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669304952

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIVONNE LILIANA PERALTACredential: APRN

Location Address8613 OLD KINGS RD S STE 602Jacksonville, FL 32217-4863

Mailing Address121 Caribbean PlSaint Johns, FL 32259-2296 · (904) 493-3390 · Fax (904) 493-3395

Phone(904) 493-3390

Fax(904) 493-3395

Sole ProprietorYes

Enumeration DateJune 1, 2026

NPPES CertifiedJune 1, 2026

✔ NPI 1669304952 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 · 11045757

8613 OLD KINGS RD S STE 602, Jacksonville, FL 32217

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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivonne Liliana Peralta Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32217 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.

Other Providers at the Same Location NPPES 7

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

JACKSONVILLE HOSPITALISTS PA

Hospitalist