Individual provider Active NPI

Mary Allen, ARNP

  • Inpatient Obstetric Registered Nurse
  • Kissimmee, FL
National Provider Identifier
1255418133
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X
License
1796282 Issued in FL
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

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000852 FL Practitioner - Nurse Practitioner 4082655477 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1796282FLMDInpatient Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Medical Services of Poinciana Inc CurrentSince Apr 1, 2026 Accepting new patients
Primary Care Medical Services of Poinciana Inc CurrentSince Jul 31, 2023 Accepting new patients
Primary Care Medical Services of Poinciana, Inc. PastSince Jul 31, 2023 Accepting new patients
Mid Florida Woman'S Center, Inc. Past Accepting new patients
Primary Care Medical Services of Poinciana Inc PastSince Apr 1, 2026 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

  • FHIR API: https://api.platform.athenahealth.com/26532/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.