Individual provider Active NPI

Ana M Briceno, APRN

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1083404602
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039302 Issued in FL
Practice address
401 W Oak St
Kissimmee, FL 34741-4931
Phone
(407) 674-2044
Fax
(407) 674-2049
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 APRN11039302 FL Primary

Addresses

Primary practice location

401 W Oak St
Kissimmee, FL 34741-4931

Mailing address

4141 Twilight TRL
Kissimmee, FL 34746-3247
Phone (689) 265-7803

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
I20251030002544 FL Practitioner - Nurse Practitioner 4486143369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 W Oak St
Kissimmee, FL 34741-4931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039302FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Family Practice LLC CurrentSince Sep 24, 2025 Accepting new patients
De Novo Wellness & Mental Health LLC CurrentSince May 11, 2025 Accepting new patients

Locations

401 W Oak St
Kissimmee, FL 34741
Phone (407) 674-2044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBFCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBFCA/Endpoint/AEBFCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1083404602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 TWILIGHT TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463247",
            "telephone_number": "689-265-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414931",
            "telephone_number": "407-674-2044",
            "fax_number": "407-674-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICENO",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.