Individual provider Active NPI

Narissa Seelall, APRN

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1255007324
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014436 Issued in FL
Practice address
1920 Don Wickham Dr Ste 100
Clermont, FL 34711-1977
Phone
(352) 394-1150
Fax
(352) 394-1560
NPI assigned
Aug 19, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11014436 FL Primary

Addresses

Primary practice location

1920 Don Wickham Dr Ste 100
Clermont, FL 34711-1977

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200

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
I20210827001861 FL Practitioner - Nurse Practitioner 8921403015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1340 N Hancock Rd
Clermont, FL 34711-5952
Phone (352) 394-1150

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare, LLC Family CurrentSince Oct 20, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Feb 12, 2023 Accepting new patients
Pophealthcare, LLC CurrentSince Oct 20, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1340 N Hancock Rd
Clermont, FL 34711
Phone (352) 394-1150

1920 Don Wickham Dr
Ste 100
Clermont, FL 34711
Phone (352) 394-1150

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

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

4100 Waterman Way
Tavares, FL 32778
Phone (352) 343-1117

4100 Waterman Way
Fl Cancer
Tavares, FL 32778
Phone (352) 343-1117

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1255007324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111977",
            "telephone_number": "352-394-1150",
            "fax_number": "352-394-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELALL",
        "first_name": "NARISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.