JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
NPI 1861263147
Nurse Practitioner - Primary Care in Orange City, FL

Active since January 15, 2024
101 NORTHLAKE DRIVE, ORANGE CITY, FL 32763(386) 456-1500(386) 456-1550 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Knox Village Of Central Florida, Inc NPPES

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

JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC (NPI 1861263147) is a healthcare organization registered as a primary care in Orange City, Florida and active in the NPI registry since January 2024. The organization lists Nicole J Vega, Director Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1861263147
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameJOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Location Address101 NORTHLAKE DRIVEOrange City, FL 32763-6167
Mailing Address101 Northlake DrOrange City, FL 32763-6167 · (386) 775-3840
Fax(386) 456-1550
Organization SubpartYes
Authorized OfficialNicole J VegaDirector Of Clinical Services · (386) 775-3840
Enumeration DateJanuary 15, 2024
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedJanuary 29, 2024
✔ NPI 1861263147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
101 NORTHLAKE DRIVE, Orange City, FL 32763

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Knox Village Of Central Florida, Inc 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 John Knox Village Of Central Florida, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1972690972
701 MONASTERY RD
Orange City, FL 32763
(386) 456-1600
✔ PECOS✔ Accepts Medicare0.5 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 John Knox Village Of Central Florida, Inc's NPI number?

The NPI number for John Knox Village Of Central Florida, Inc is 1861263147. It was assigned to this organization in the NPPES registry on January 15, 2024.

Where is John Knox Village Of Central Florida, Inc located?

John Knox Village Of Central Florida, Inc is located at 101 Northlake Drive, Orange City, FL 32763. The listed phone number is (386) 456-1500.

What is John Knox Village Of Central Florida, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is John Knox Village Of Central Florida, Inc enrolled in Medicare?

Yes. John Knox Village Of Central Florida, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John Knox Village Of Central Florida, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to John Knox Village Of Central Florida, Inc. 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.

What insurance does John Knox Village Of Central Florida, Inc accept?

Health plans from Florida Health Care Plans list John Knox Village Of Central Florida, Inc 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 John Knox Village Of Central Florida, Inc was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.