Active NPI
Visser Health LLC
- Family Medicine Physician
- Port Saint Lucie, FL
National Provider Identifier
1063372258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VISSER HEALTH LLC
- Practice address
- 1892 SW Gatlin Blvd
Port Saint Lucie, FL 34953 - Phone
- (772) 475-5369
- Fax
- (772) 213-0304
- NPI assigned
- Nov 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Visser, MD
- Title
- Physician Owner
- Phone
- (772) 475-5369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1892 SW Gatlin Blvd
Port Saint Lucie, FL 34953
Mailing address
1892 SW Gatlin Blvd
Port Saint Lucie, FL 34953
Phone (772) 475-5369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1892 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 475-5369
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1063372258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1892 SW GATLIN BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34953",
"telephone_number": "772-475-5369",
"fax_number": "772-213-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1892 SW GATLIN BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "34953",
"telephone_number": "772-475-5369",
"fax_number": "772-213-0304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISSER HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-12",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "VISSER",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "772-475-5369",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.