Kristoffer Acasio, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Orlando, FL
NPI 1124724307 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124724307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN11024578 (FL)
- Practice address
- 5540 E Grant St
Orlando, FL 32822-1668 - Phone
- (407) 262-2220
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Sligh Blvd
Orlando, FL 32806-3901
3835 N Fwy Blvd
Suite 100
Sacramento, CA 95834-1954
PO Box
New York, NY 10087
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251218002233 | FL | Practitioner - Nurse Practitioner | 8123513066 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11024578 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 404741 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindpath Health Florida, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
1572 Citrus Medical Ct
Ocoee, FL 34761
1540 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 245-8501
3505 Lake Lynda Dr
Ste 200
Orlando, FL 32817
Phone (407) 567-1900
Interoperability endpoints
- mpfl.kristoffer.acasio@150275.advancedmd-direct.com
- sohomd.kristofferacasio@157389.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11024578 | FL | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404741 | NY |
Addresses
Primary practice location
5540 E Grant St
Orlando, FL 32822-1668
Mailing address
5540 E Grant St Ste a
Orlando, FL 32822-1668
Phone (407) 262-2220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131502300 | Medicaid | FL |
Other providers in Orlando, FL
- Brooke Abzug
- Academy for Autism Inc.
- Kayla Acampado
- Acare Provider Services
- Acariahealth Pharmacy, Inc.
- Accel Therapeutics Inc
- Accelerate Behavioral Health, LLC
- Accelerated Psychiatric Solutions LLC
- Access Behavioral Care Associates, P.a.
- Access Healthcare of Orlando Inc
All providers in Orlando, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.