Individual provider Active NPI

Ada Maryane Arizmendi, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1043789860
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000245 Issued in FL
Practice address
258 N Chickasaw TRL
Ste 201
Orlando, FL 32825-3523
Phone
(407) 646-7015
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000245 FL Primary

Addresses

Primary practice location

258 N Chickasaw TRL
Ste 201
Orlando, FL 32825-3523

Mailing address

258 N Chickasaw TRL
Ste 201
Orlando, FL 32825-3523
Phone (407) 646-7015

Other practice location 1

2901 Curry Ford Rd Ste 106
Orlando, FL 32806-3353
Phone (407) 203-5984

Other names 1

  • Ada Maryane Frasica Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623001518 FL Practitioner - Nurse Practitioner 8123440021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

258 S Chickasaw TRL
Suite 201
Orlando, FL 32825-3523
Phone (407) 303-6626

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

9975 Tavistock Lakes Blvd
Suite 220
Orlando, FL 32827-7665
Phone (407) 930-7801

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11000245FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Apr 22, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 22, 2024 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aarizmendi2531336@adventhealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1043789860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N CHICKASAW TRL",
            "address_2": "STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253523",
            "telephone_number": "407-646-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 N CHICKASAW TRL",
            "address_2": "STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253523",
            "telephone_number": "407-646-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Curry Ford Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328063353",
            "country_code": "US",
            "telephone_number": "407-203-5984",
            "fax_number": "407-930-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARIZMENDI",
        "first_name": "ADA",
        "middle_name": "MARYANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADA",
            "last_name": "FRASICA",
            "middle_name": "MARYANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.