Florida Blue Star Inc
NPI 1053993550ActiveOrganization· Nurse Practitioner, Primary Care· Cape Coral, FL
Nurse Practitioner, Primary Care in Cape Coral, Florida, registered in NPPES in April 2021. The authorized official on file is Yudith Simon, APRN, Advanced Practice Registered Nurse.
Overview
| NPI | 1053993550 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2021 |
| Last updated in NPPES | Apr 23, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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