Individual provider Active NPI

Jessie M Swisher, APRN

  • Primary Care Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1043872229
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11003058 Issued in FL
Practice address
700 W Oak St
Kissimmee, FL 34741-4996
Phone
(407) 518-3801
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11003058 FL Primary

Addresses

Primary practice location

700 W Oak St
Kissimmee, FL 34741-4996

Mailing address

700 W Oak St
Kissimmee, FL 34741-4924
Phone (074) 519-3801

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
I20191007000225 FL Practitioner - Nurse Practitioner 8921339953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polk Emergency Group LLCGroup PAC ID 0547241598, 19 clinicians
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

Practice addresses (Care Compare)

2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 533-8111

40100 Hwy 27
Davenport, FL 33837-5906
Phone (863) 422-4971

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003058FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Emergency Group, LLC CurrentSince Nov 10, 2025 Accepting new patients
Trinity Medical Physicians, LLC CurrentSince Nov 1, 2020 Accepting new patients
Ridgewood Emergency Group, LLC CurrentSince Nov 10, 2025 Accepting new patients
Lake Wales Emergency Physicians, LLC CurrentSince Nov 10, 2025 Accepting new patients
Polk Emergency Group LLC CurrentSince Feb 17, 2022 Accepting new patients
Raypar Inc Past Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337

3242 S Florida Ave
Lakeland, FL 33803
Phone (863) 644-0880

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

550 Pope Ave NW
Ste 200
Winter Haven, FL 33881
Phone (863) 271-9867

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1043872229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "074-519-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414996",
            "telephone_number": "407-518-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "JESSIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11003058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.