Active NPI
Mary Allen, ARNP
- Inpatient Obstetric Registered Nurse
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Obstetric Registered Nurse
- License
- 1796282
- Practice address
- 1501-1507 Bill Beck Blvd
Kissimmee, FL 34744 - Phone
- (407) 943-8600
- NPI assigned
- Oct 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 1796282 | FL | Primary |
Addresses
Primary practice location
1501-1507 Bill Beck Blvd
Kissimmee, FL 34744
Mailing address
1503 Bill Beck Blvd
Kissimmee, FL 34744-9516
Phone (407) 943-8600
Other practice location 1
1050 Grape Ave
Saint Cloud, FL 34769-3965
Phone (407) 943-8600
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1796282 | FL | MD | Inpatient Obstetric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Medical Services of Poinciana Inc | Current | Accepting new patients | |
| Primary Care Medical Services of Poinciana Inc | Current | Accepting new patients | |
| Primary Care Medical Services of Poinciana, Inc. | Past | Accepting new patients | |
| Mid Florida Woman'S Center, Inc. | Past | Accepting new patients | |
| Primary Care Medical Services of Poinciana Inc | Past | Accepting new patients |
Locations
109 N Doverplum Ave
Kissimmee, FL 34758
Phone (407) 943-8677
1877 Fortune Rd
Kissimmee, FL 34744
Phone (407) 943-8618
1503 Bill Beck Blvd
Kissimmee, FL 34744
Phone (407) 943-8618
1050 Grape Ave
Saint Cloud, FL 34769
Phone (407) 892-2973
Interoperability endpoints
- https://api.platform.athenahealth.com/26532/brand/1/csg/1/fhir/r4
- mary.allen.1@26532.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Kissimmee, FL
- NPI 1376093609
-
- Federally Qualified Health Center (FQHC)
- Kissimmee, FL
- NPI 1982002945
-
- Obstetrics & Gynecology Physician
- Kissimmee, FL
- NPI 1629153432
-
- Federally Qualified Health Center (FQHC)
- Kissimmee, FL
- NPI 1407481039
-
- Community/Behavioral Health Agency
- Kissimmee, FL
- NPI 1043873342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1255418133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 BILL BECK BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449516",
"telephone_number": "407-943-8600",
"fax_number": "407-932-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501-1507 BILL BECK BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34744",
"telephone_number": "407-943-8600"
}
],
"practiceLocations": [
{
"address_1": "1050 Grape Ave",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347693965",
"country_code": "US",
"telephone_number": "407-943-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "MARY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "FL",
"license": "1796282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.