Active NPI
Alicia Dee Hulsizer
- Family Nurse Practitioner
- Orange City, FL
National Provider Identifier
1285380352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 110187885
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Docs
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110187885 | FL | MD | Family Nurse Practitioner |
| F348017-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Docs | Family | Current | Accepting new patients |
| Stars & Stripes Nexus Service | Family | Current | Accepting new patients |
| Primary Care of Oc LLC | Current | Accepting new patients |
Locations
135 E Minnesota Ave
Orange City, FL 32763
Phone (386) 241-0274
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.