Individual provider Active NPI

Hichinaca Roberson, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1255827044
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9297122 Issued in FL
Practice address
719 Rodel CV Ste 1015
Lake Mary, FL 32746-5716
Phone
(321) 843-1391
Fax
(407) 636-7864
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 APRN9297122 FL Primary

Addresses

Primary practice location

719 Rodel CV Ste 1015
Lake Mary, FL 32746-5716

Mailing address

719 Rodel CV
Lake Mary, FL 32746-5716
Phone (407) 302-3119

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
I20181015002228 FL Practitioner - Nurse Practitioner 8123370483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

725 Rodel CV
FL 2
Lake Mary, FL 32746-4859
Phone (407) 302-3106

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9297122FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Sep 1, 2023 Accepting new patients
Orlando Health Medical Group Inc PastSince Nov 12, 2023 Accepting new patients
Orlando Health Medical Group Inc PastSince Nov 12, 2023 Accepting new patients

Locations

725 Rodel Cv
Fl 2
Lake Mary, FL 32746
Phone (321) 842-4750

719 Rodel Cv
Ste 1015
Lake Mary, FL 32746
Phone (407) 262-5800

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1255827044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 RODEL CV",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "407-302-3119",
            "fax_number": "407-302-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 RODEL CV STE 1015",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465716",
            "telephone_number": "321-843-1391",
            "fax_number": "407-636-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "HICHINACA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9297122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.