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SETHA JOSEPH APNP
NPI 1962972570
Nurse Practitioner - Gerontology in Orlando, FL

Active since November 27, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1800 MERCY DR, ORLANDO, FL 32808(407) 875-3700(407) 822-5024 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Jun 30, 2021, Jul 17, 2019 and 1 more (4 updates tracked since 2018).

About Setha Joseph Apnp NPPES

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

SETHA JOSEPH APNP (NPI 1962972570) is an individual gerontology provider in Orlando, Florida, licensed in Florida (APRN11018839) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962972570
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSETHA JOSEPHCredential: APNP
Location Address1800 MERCY DROrlando, FL 32808-5646
Mailing Address5151 Adanson StOrlando, FL 32804-1317 · (078) 753-7004
Phone(407) 875-3700
Fax(407) 822-5024
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 27, 2018
Last NPPES UpdateNovember 27, 20244 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
✔ NPI 1962972570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11018839
1800 MERCY DR, Orlando, FL 32808
Open in Google Maps ↗

Secondary Practice Location 1

Location 15900 Lake Ellenor Dr Ste 700Orlando, FL 32809-4643 · Phone (407) 352-2542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Setha Joseph Apnp 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 ID1254667942
PECOS Enrollment IDI20220901000072
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Setha Joseph reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspire Health Partners, Inc.
Same address
Mental Health (Including Community Mental Health Center)
1800 MERCY DR
Orlando, FL 32808
  • Reassigned Medicare billing, Florida enrollment
  • 105 clinicians in this Medicare group
NPI 1821033903 (407) 875-3700
Bliss Specialty Healthcare Group
2.2 mi
Internal Medicine
6388 SILVER STAR RD STE 2H
Orlando, FL 32818
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1164192381 (352) 205-9149
Rmed LLC
4.9 mi
Family Medicine
2600 LAKE LUCIEN DR STE 112
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 288 clinicians in this Medicare group
NPI 1811537491 (321) 207-9029
Wound Technology Network Inc
6.0 mi
Infectious Disease
5979 VINELAND RD STE 109
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
  • 208 clinicians in this Medicare group
NPI 1962601393 (954) 923-7440
Vital Health Solutions PLLC
7.0 mi
Internal Medicine
624 EXECUTIVE PARK CT STE 1024A
Apopka, FL 32703
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1841166071 (407) 329-9229
Central Florida Inpatient Medicine LLC
12 mi
Internal Medicine
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 329 clinicians in this Medicare group
NPI 1649228859 (407) 647-2346
Synergy Inpatient Services LLC
42 mi
Multi-Specialty
1580 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 29 clinicians in this Medicare group
NPI 1952016842 (352) 565-7675
Florida Rehab Specialists, PLLC
84 mi
Adult Medicine
300 NW 1ST AVE
Williston, FL 32696
  • Reassigned Medicare billing, Florida enrollment
  • 198 clinicians in this Medicare group
NPI 1447941984 (352) 234-3050
Intensive Care Experts Health Network LLC
194 mi
Pulmonary Disease
701 N FEDERAL HWY # 601
Hallandale Beach, FL 33009
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
NPI 1164824397 (954) 482-4747
Infinite Medical PC
1,070 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Florida enrollment
  • 117 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,410 services266 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,018 services180 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
292 services148 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
110 services104 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32808 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$68.39 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 20

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

JASKARA L CASTILLO
Counselor
1800 MERCY DR, SUITE 302
ORLANDO, FL 32808
Orange County (407) 875-3700
TERRENCE D WOODARD
Counselor (Mental Health)
1800 MERCY DR, SUITE 302
ORLANDO, FL 32808
Orange County (407) 875-3700
DANIELLE HENRY
Counselor (Mental Health)
1800 MERCY DR, SUITE 302
ORLANDO, FL 32808
Orange County (407) 875-3700
LORI HARVEY
Counselor (Mental Health)
1800 MERCY DR, SUITE 302
ORLANDO, FL 32808
Orange County (407) 875-3700
WILFREDO BUXO POU
Registered Nurse (Psychiatric/Mental Health)
1800 MERCY DR
ORLANDO, FL 32808
Orange County (407) 875-3700
MENDI TAYLOR NIXON ARNP
Nurse Practitioner (Primary Care)
1800 MERCY DR
ORLANDO, FL 32808
Orange County (407) 875-3700
STACEY PUNCH
Counselor (Mental Health)
1800 MERCY DR
ORLANDO, FL 32808
Orange County (407) 875-3700
MS. EDUASVY LAURELLE VANBOKKLEN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1800 MERCY DR
ORLANDO, FL 32808
Orange County (407) 875-3700

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 Setha Joseph's NPI number?

The NPI number for Setha Joseph is 1962972570. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Where is Setha Joseph located?

Setha Joseph practices at 1800 Mercy Dr, Orlando, FL 32808. The listed phone number is (407) 875-3700.

What is Setha Joseph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Setha Joseph enrolled in Medicare?

Yes. Setha Joseph 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.

Which organizations bill Medicare for Setha Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Setha Joseph reassigns Medicare benefits to 11 organizations: Aspire Health Partners, Inc. (Orlando, FL), Bliss Specialty Healthcare Group (Orlando, FL), Rmed LLC (Maitland, FL), Wound Technology Network Inc (Orlando, FL), Vital Health Solutions PLLC (Apopka, FL) and 6 more organizations, listed in the Medicare section above. Each 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 Setha Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Setha Joseph accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Setha Joseph 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 Setha Joseph was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.