Individual provider Active NPI

Alicia Dee Hulsizer

  • Family Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1285380352
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110187885 Issued in FL
Practice address
135 E Minnesota Ave
Orange City, FL 32763-2312
Phone
(386) 316-5439
NPI assigned
Feb 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F348017-01 NY
Family Nurse Practitioner 363LF0000X 110187885 FL Primary

Addresses

Primary practice location

135 E Minnesota Ave
Orange City, FL 32763-2312

Mailing address

135 E Minnesota Ave
Orange City, FL 32763-2312
Phone (386) 316-5439

Other practice location 1

2025 Kotary Rd
Constableville, NY 13325-1911
Phone (912) 271-8057

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
I20220520001095 FL Practitioner - Nurse Practitioner 4880071489 Reassigns benefits to 4 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
Home DocsGroup PAC ID 9133432750, 4 clinicians

Practice addresses (Care Compare)

341 W Minnesota Ave
Orange City, FL 32763-2205
Phone (386) 316-5439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110187885FLMDFamily Nurse Practitioner
F348017-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Docs Family CurrentSince May 15, 2022 Accepting new patients
Stars & Stripes Nexus Service Family Current Accepting new patients
Primary Care of Oc LLC CurrentSince Apr 11, 2024 Accepting new patients

Locations

135 E Minnesota Ave
Orange City, FL 32763
Phone (386) 241-0274

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4

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": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1285380352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MINNESOTA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632312",
            "telephone_number": "386-316-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MINNESOTA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632312",
            "telephone_number": "386-316-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Kotary Rd",
            "address_purpose": "LOCATION",
            "city": "Constableville",
            "state": "NY",
            "postal_code": "133251911",
            "country_code": "US",
            "telephone_number": "912-271-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSIZER",
        "first_name": "ALICIA",
        "middle_name": "DEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348017-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "110187885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.