Individual provider Active NPI

Carmen Arrufat Ives, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1104565563
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11032432 Issued in FL
Practice address
1100 N Fern Creek Ave Ste F
Orlando, FL 32803-2628
Phone
(407) 305-7654
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20642 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 76869 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11032432 FL Primary

Addresses

Primary practice location

1100 N Fern Creek Ave Ste F
Orlando, FL 32803-2628

Mailing address

1100 N Fern Creek Ave Ste F
Orlando, FL 32803-2628
Phone (407) 305-7654

Other practice location 1

1507 Bill Beck Blvd
Kissimmee, FL 34744-9516
Phone (407) 943-8600

Other practice location 2

8600 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747-1001
Phone (407) 943-8600

Other identifiers 1

IdentifierTypeStateIssuer
123630700MedicaidFL

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
I20240911004226 FL Practitioner - Nurse Practitioner 5799225140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 N Fern Creek Ave
Suite F
Orlando, FL 32803-2628
Phone (407) 305-7654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20642FLMDDentist
11032432FLMDPsychiatric/Mental Health Nurse Practitioner
76869NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manna Behavioral Health, Inc Psychiatric/Mental Health CurrentSince Jul 28, 2025 Accepting new patients

Locations

1100 N Fern Creek Ave
Ste F
Orlando, FL 32803
Phone (407) 305-7654

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1104565563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N FERN CREEK AVE STE F",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032628",
            "telephone_number": "407-305-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N FERN CREEK AVE STE F",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032628",
            "telephone_number": "407-305-7654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Bill Beck Blvd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347449516",
            "country_code": "US",
            "telephone_number": "407-943-8600",
            "fax_number": "833-464-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 W Irlo Bronson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347471001",
            "country_code": "US",
            "telephone_number": "407-943-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVES",
        "first_name": "CARMEN",
        "middle_name": "ARRUFAT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20642",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "76869",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11032432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123630700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.