Individual provider Active NPI

Jennifer Nicole Guevara Andrade

  • Medical Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1083598502
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9120829 Issued in FL
Practice address
410 Celebration PL Ste 208
Kissimmee, FL 34747-5434
Phone
(407) 566-2229
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9120829 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 208
Kissimmee, FL 34747-5434

Mailing address

3162 Twin Shore LN
Orlando, FL 32824-7817
Phone (407) 285-9529

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
I20251017002289 FL Practitioner - Physician Assistant 4688161037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

410 Celebration PL
Suite 208
Celebration, FL 34747-5434
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120829FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
FWC Perinatal, LLC CurrentSince Jan 1, 2026 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

112 Park Place Blvd
Davenport, FL 33837
Phone (407) 343-1825

405 N Main St
Kissimmee, FL 34744

410 Celebration Pl
Ste 208
Kissimmee, FL 34747
Phone (407) 566-2229

6427 Westwood Blvd
Ste 100
Orlando, FL 32821
Phone (321) 566-2829

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1997 Daniels Rd
Winter Garden, FL 34787
Phone (407) 566-2229

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1083598502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 TWIN SHORE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328247817",
            "telephone_number": "407-285-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 208",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347475434",
            "telephone_number": "407-566-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA ANDRADE",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9120829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.