Individual provider Active NPI

Debra Lynne Franzen, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1174521835
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11013528 Issued in FL
Practice address
4776 New Broad St Ste 201
Orlando, FL 32814-6423
Phone
(407) 871-9490
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F330681 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403062 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11013528 FL Primary

Addresses

Primary practice location

4776 New Broad St Ste 201
Orlando, FL 32814-6423

Mailing address

4776 New Broad St Ste 201
Orlando, FL 32814-6423
Phone (407) 871-9490

Other practice location 1

100 John Roemmelt Dr
Horseheads, NY 14845-8301
Phone (607) 737-4499

Other practice location 2

1019 E Water St
Elmira, NY 14901-3332
Phone (607) 733-5696

Other identifiers 1

IdentifierTypeStateIssuer
02357904MedicaidNY

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
I20110728000071 NY Practitioner - Nurse Practitioner 7618152596 Reassigns benefits to 1 organization
I20220325001670 FL Practitioner - Nurse Practitioner 7618152596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

4776 New Broad St
Suite 201
Orlando, FL 32814-6423
Phone (321) 559-7015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F330681NYMDNurse Practitioner
11013528FLMDPsychiatric/Mental Health Nurse Practitioner
F403062NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Mar 1, 2022 Accepting new patients
Family Services of Chemung County, Inc. Nurse Practitioner CurrentSince Jun 23, 2020 Accepting new patients
Chemung Medical Services PC Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

10125 W Colonial Dr
Ste 212
Ocoee, FL 34761
Phone (407) 753-7441

4776 New Broad St
Ste 201
Orlando, FL 32814
Phone (407) 871-9490

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.debrafranzen@141363.advancedmd-direct.com

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1174521835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 NEW BROAD ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146423",
            "telephone_number": "407-871-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 NEW BROAD ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146423",
            "telephone_number": "407-871-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 John Roemmelt Dr",
            "address_purpose": "LOCATION",
            "city": "Horseheads",
            "state": "NY",
            "postal_code": "148458301",
            "country_code": "US",
            "telephone_number": "607-737-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 E Water St",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149013332",
            "country_code": "US",
            "telephone_number": "607-733-5696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANZEN",
        "first_name": "DEBRA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330681",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11013528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.