Individual provider Active NPI

Allyson L Fortis, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1174110092
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN1006808 Issued in FL
Practice address
32 W Gore St
Orlando, FL 32806-1134
Phone
(407) 649-6879
Fax
(321) 841-8582
NPI assigned
Dec 26, 2020
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN1006808 FL Primary
Gerontology Nurse Practitioner 363LG0600X APRN11006808 FL
Primary Care Nurse Practitioner 363LP2300X APRN11006808 FL

Addresses

Primary practice location

32 W Gore St
Orlando, FL 32806-1134

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

805 Currency Cir
Lake Mary, FL 32746-2115
Phone (407) 804-6133

Other practice location 2

765 Image Way
Orange City, FL 32763-8399
Phone (386) 774-7411

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
I20220413002496 FL Practitioner - Nurse Practitioner 2466848734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

32 W Gore St
Orlando, FL 32806-1134
Phone (321) 841-3820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1006808FLMDAdult Health Nurse Practitioner
APRN11006808FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Feb 12, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 7, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 7, 2022 Accepting new patients

Locations

805 Currency Cir
Lake Mary, FL 32746
Phone (407) 804-6133

2824 Enterprise Rd
Orange City, FL 32763
Phone (386) 774-7411

765 Image Way
Orange City, FL 32763
Phone (386) 774-7411

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1174110092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061134",
            "telephone_number": "407-649-6879",
            "fax_number": "321-841-8582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Currency Cir",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462115",
            "country_code": "US",
            "telephone_number": "407-804-6133",
            "fax_number": "866-447-9143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Image Way",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638399",
            "country_code": "US",
            "telephone_number": "386-774-7411",
            "fax_number": "386-774-7412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTIS",
        "first_name": "ALLYSON",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN1006808",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11006808",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11006808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.