| Mr Kelvin Dupera, PMHNP | |
| 308 Nw 5th Ave, Okeechobee, FL 34972-2568 | |
| (863) 261-8354 | |
| (863) 638-5637 | 
| Full Name | Mr Kelvin Dupera | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 308 Nw 5th Ave, Okeechobee, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285216234 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11012550 (Florida) | Primary | 
| 163W00000X | Registered Nurse | 9413104 (Florida) | Secondary | 
| Entity Name | Impower, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104910868 PECOS PAC ID: 6507924883 Enrollment ID: O20081015000736 | 
| Entity Name | Health Haven Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265824858 PECOS PAC ID: 7911212634 Enrollment ID: O20150810002451 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Kelvin Dupera, PMHNP 308 Nw 5th Ave, Okeechobee, FL 34972-2568 Ph: (863) 261-8354 | Mr Kelvin Dupera, PMHNP 308 Nw 5th Ave, Okeechobee, FL 34972-2568 Ph: (863) 261-8354 | 
| Audreylyn Waldo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1713 Hwy 441 North, Suite C, Okeechobee, FL 34972 Phone: 863-467-2159 Fax: 863-763-0681 | |
| Kyla Danielle Hargraves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Se Park St, Okeechobee, FL 34972 Phone: 863-763-1107 | |
| Nathalie Grant,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-7481 Fax: 863-763-5920 | |
| Nancy Lynn Saunders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1713 Us Highway 441 N, Suite D, Okeechobee, FL 34972 Phone: 863-467-1117 | |
| Khamphou Manivanh Mosley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-7481 Fax: 844-542-4899 | |
| Jo Anne Weiss, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N Parrott Ave, Okeechobee, FL 34972 Phone: 863-763-1951 Fax: 863-357-2991 | |
| David Guzak,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 Nw 5th Ave, Okeechobee, FL 34972 Phone: 863-261-8354 |