Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Feliz-Lopez

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588537526

Genesis Feliz-Lopez is a Nurse Practitioner in Orange City, Florida. Qualified in 2025, 1 year ago. Practices with Adly Thebaud, MD, PA, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025

Practice location Address checks out

2725 Rebecca Ln Ste 107
Orange City, FL 32763-8350
Phone: (386) 775-0736
Fax: (386) 775-0738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11040649 (FL)

Record details

NPI number1588537526
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Adly Thebaud,Md,Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orange City