Active NPI
Debra Lynne Franzen, NP
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11013528
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02357904 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F330681 | NY | MD | Nurse Practitioner |
| 11013528 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| F403062 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Current | Accepting new patients | |
| Family Services of Chemung County, Inc. | Nurse Practitioner | Current | 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
- 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.
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.