Individual provider Active NPI

Anne Wissman, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1437757184
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008366 Issued in FL
Practice address
427 S Parsons Ave Ste 112
Brandon, FL 33511-5252
Phone
(813) 699-4005
Fax
(813) 643-1155
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 APRN11008366 FL Primary

Addresses

Primary practice location

427 S Parsons Ave Ste 112
Brandon, FL 33511-5252

Mailing address

504 N Reo St
Tampa, FL 33609-1013
Phone (813) 549-2134

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
I20220124000530 FL Practitioner - Nurse Practitioner 0143612234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

427 S Parsons Ave
Suite 112
Brandon, FL 33511-5252
Phone (813) 699-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC Family CurrentSince Dec 27, 2021 Accepting new patients
Charles K Friedman DO PA CurrentSince Mar 31, 2023 Accepting new patients

Locations

1369 Providence Rd
Brandon, FL 33511
Phone (813) 982-3456

427 S Parsons Ave
Ste 112
Brandon, FL 33511
Phone (813) 651-4441

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Organizations & group practices 2

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1437757184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S PARSONS AVE STE 112",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115252",
            "telephone_number": "813-699-4005",
            "fax_number": "813-643-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSMAN",
        "first_name": "ANNE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.