Individual provider Active NPI

Celina Ruyssers, P.A.

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1386918423
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9106320 Issued in FL
Practice address
125 W Copeland Dr
Orlando, FL 32806-2101
Phone
(321) 841-7090
Fax
(321) 843-2267
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9106320 FL
Surgical Physician Assistant 363AS0400X PA9106320 FL Primary

Addresses

Primary practice location

125 W Copeland Dr
Orlando, FL 32806-2101

Mailing address

125 W Copeland Dr
Orlando, FL 32806
Phone (321) 841-7090

Other practice location 1

2209 North Boulevard West
Ste C
Davenport, FL 33837-8903
Phone (877) 800-0239

Other practice location 2

1997 Daniels Road
Winter Garden, FL 34787-4599
Phone (877) 800-0239

Other practice location 3

410 Celebration Place
Ste 208
Celebration, FL 34747-5434
Phone (877) 800-0239

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
I20130212000544 FL Practitioner - Physician Assistant 6406000892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

22 W Underwood St
Orlando, FL 32806-1110
Phone (407) 648-3800

32 W Gore St
Orlando, FL 32806-1134

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

76 W Underwood St
Orlando, FL 32806-1110

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 896-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9106320FLMDMedical Physician Assistant
PA9106320FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Orlando Carenow Urgent Care LLC Past Accepting new patients
Thomas D Harris MD PA PastSince Oct 5, 2007 Accepting new patients
Medi Winter Park LLC Past Accepting new patients

Locations

410 Celebration Pl
Ste 208
Kissimmee, FL 34747
Phone (407) 566-2229

125 W Copeland Dr
Orlando, FL 32806
Phone (321) 841-7090

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEIIBD

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.

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1386918423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "321-841-7090",
            "fax_number": "321-843-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062101",
            "telephone_number": "321-841-7090",
            "fax_number": "321-843-2267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 North Boulevard West",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378903",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1997 Daniels Road",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874599",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Celebration Place",
            "address_2": "Ste 208",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475434",
            "country_code": "US",
            "telephone_number": "877-800-0239",
            "fax_number": "407-566-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUYSSERS",
        "first_name": "CELINA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9106320",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.