Individual provider Active NPI

Carissa Leigh Strouse, APRN

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1124377270
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11002979 Issued in FL
Practice address
7404 5TH Ave
Brooklyn, NY 11209-2704
Phone
(877) 658-2244
Fax
(858) 724-6662
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9270473 FL
General Practice Registered Nurse 163WG0000X 599181 NY
Adult Health Nurse Practitioner 363LA2200X 11002979 FL Primary

Addresses

Primary practice location

7404 5TH Ave
Brooklyn, NY 11209-2704

Mailing address

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (877) 658-2244

Other names 1

  • Carissa Leigh Reyes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200626001182 NY Practitioner - Nurse Practitioner 7719309343 Practice locations: Buffalo, NY
I20250807004607 FL Practitioner - Nurse Practitioner 7719309343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mdwatch Medical CorpGroup PAC ID 3870992670, 9 clinicians

Practice addresses (Care Compare)

8400 NW 33Rd St
Suite 310 1049
Doral, FL 33122-2006
Phone (877) 257-0637

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9270473FLMDRegistered Nurse
309647NYMDLicensed Practical Nurse
11002979FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdwatch Medical Corp. CurrentSince Jul 1, 2025 Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Mdwatch Ca, PC PastSince Aug 1, 2020 Accepting new patients

Locations

13280 Evening Creek Dr S
Ste 225
San Diego, CA 92128
Phone (858) 752-9735

8400 NW 33rd St
Ste 310
Doral, FL 33122
Phone (305) 459-3232

8350 NW 52nd Ter
Ste 301
Doral, FL 33166
Phone (305) 463-6600

Organizations & group practices 4

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1124377270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284664",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092704",
            "telephone_number": "877-658-2244",
            "fax_number": "858-724-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUSE",
        "first_name": "CARISSA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9270473",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "599181",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11002979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "REYES",
            "middle_name": "LEIGH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.