Active NPI
Jessie M Swisher, APRN
- Primary Care Nurse Practitioner
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11003058
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11003058 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Emergency Group, LLC | Current | Accepting new patients | |
| Trinity Medical Physicians, LLC | Current | Accepting new patients | |
| Ridgewood Emergency Group, LLC | Current | Accepting new patients | |
| Lake Wales Emergency Physicians, LLC | Current | Accepting new patients | |
| Polk Emergency Group LLC | Current | 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.
-
- Emergency Medicine Physician
- Lake Wales, FL
- NPI 1033480405
-
- Emergency Medicine Physician
- Bartow, FL
- NPI 1558338574
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1750862694
-
- Family Medicine Physician
- Lakeland, FL
- NPI 1225652878
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1679324842
-
- Family Medicine Physician
- Winter Haven, FL
- NPI 1356374466
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.