OrganizationActive
Medicare Providers Network, LLC
NPI 1205275401 · Exclusive Provider Organization · Orlando, FL
Provider details
- NPI number
- 1205275401
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jasvendar Nandra, Ceo(407) 921-2074
- License
- ME85696 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2840 N Hiawassee Rd
Ste # 428
Orlando, FL 32818-3319
Phone: (407) 921-2074
Fax: (407) 264-8686
Street-level locationGet directions
Mailing address
Po Box 951659
Lake Mary, FL 32795-1659
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2013-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.