Look up the most recent NPI and PECOS records

Wendy Carol Acosta Luna

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

258 S Chickasaw Trl Ste 200, Orlando, FL 32825-3501

PECOS Enrollment

This provider is enrolled in PECOS as WENDY ACOSTA LUNA.

Based on the most recent information from CMS, provider Wendy Carol Acosta Luna is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1912336520
Provider Type
Individual
Full Name
Acosta Luna, Wendy Carol
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
11/4/2013
Last Updated
3/24/2022

Contact Information

Practice Location

258 S Chickasaw Trl Ste 200, Orlando, FL 32825-3501

(407) 303-6865

(407) 303-6537

Mailing Location

258 S Chickasaw Trl Ste 200, Orlando, FL 32825-3501

(407) 303-6865

(407) 303-6537

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN9346973 Florida
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9346973 Florida

Provider Identifiers

ID	Description	Issuer
ID 010278900	Description Medicaid	Issuer Unlisted Florida

Wendy Carol Acosta Luna

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Catrett, Taylor Marie

Arizmendi, Ada Maryane

Vale-Saquieres, Elena

Buzon, Derl Raymond

Torres, Yolanda M

Morton, Jessica

Ram, Sharda

Wright-Cole, Jacqueline Navlett

Slone, Sarah

Medrano, Urmilla