Individual provider Active NPI

Yulissa Isabel Pascual, FNP-C, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1083426373
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355789 Issued in NY
Practice address
5024 Landsman Ave
Tampa, FL 33625-3341
Phone
(813) 405-6188
NPI assigned
Jan 23, 2025
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 355789 NY Primary

Addresses

Primary practice location

5024 Landsman Ave
Tampa, FL 33625-3341

Mailing address

5024 Landsman Ave
Tampa, FL 33625-3341
Phone (813) 405-6188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251219001863 NY Practitioner - Nurse Practitioner 4688169360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians

Practice addresses (Care Compare)

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355789NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Medical Associates PC CurrentSince Oct 3, 2025 Accepting new patients

Locations

1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600

1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820

Organizations & group practices 1

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": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1083426373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 LANDSMAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253341",
            "telephone_number": "813-405-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 LANDSMAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253341",
            "telephone_number": "813-405-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "YULISSA",
        "middle_name": "ISABEL",
        "credential": "FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.