Individual provider Active NPI

Lenin Faisury Restrepo, FNP

  • Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1063297083
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028761 Issued in FL
Practice address
1120 State Road 436
Casselberry, FL 32707-6100
Phone
(407) 322-8645
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028761 FL Primary

Addresses

Primary practice location

1120 State Road 436
Casselberry, FL 32707-6100

Mailing address

112 Kelly Cir
Sanford, FL 32773-7343
Phone (407) 638-0404

Other practice location 1

105 Main St
Enterprise, FL 32725-8138
Phone (407) 322-8645

Other practice location 2

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone (407) 322-8645

Other practice location 3

5449 S Semoran Blvd Ste 14
Orlando, FL 32822-1778
Phone (407) 322-8645

Other practice location 4

112 Kelly Cir
Sanford, FL 32773-7343
Phone (407) 638-0404

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
I20241022005220 FL Practitioner - Nurse Practitioner 4385177880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2702 S Orange Ave
Orlando, FL 32806-5402
Phone (866) 389-2727

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone 40732286452011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028761FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Oct 4, 2024 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

2702 S Orange Ave
Orlando, FL 32806
Phone (407) 254-5074

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lrestrepo265426@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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1063297083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KELLY CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737343",
            "telephone_number": "407-638-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076100",
            "telephone_number": "407-322-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Main St",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "FL",
            "postal_code": "327258138",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4930 E Lake Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327715003",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5449 S Semoran Blvd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221778",
            "country_code": "US",
            "telephone_number": "407-322-8645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Kelly Cir",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327737343",
            "country_code": "US",
            "telephone_number": "407-638-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "LENIN",
        "middle_name": "FAISURY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.