Individual provider Active NPI

Lauren Sorel Clise, APRN

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1487224499
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013540 Issued in FL
Practice address
894 E Altamonte Dr
Altamonte Springs, FL 32701-5002
Phone
(407) 834-5151
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 APRN11013540 FL Primary

Addresses

Primary practice location

894 E Altamonte Dr
Altamonte Springs, FL 32701-5002

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200

Other practice location 1

1920 Don Wickham Dr Ste 100
Clermont, FL 34711-1977
Phone (352) 394-1150

Other practice location 2

70 W Gore St Ste 100
Orlando, FL 32806-1124
Phone (407) 426-8484

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
I20210719002314 FL Practitioner - Nurse Practitioner 5395148001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

894 E Altamonte Dr
Altamonte Springs, FL 32701-5002
Phone (407) 265-6627

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jun 20, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jun 20, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

894 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 215-7794

1920 Don Wickham Dr
Ste 100
Clermont, FL 34711
Phone (352) 394-1150

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

70 W Gore St
Ste 100
Orlando, FL 32806
Phone (407) 426-8484

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lclise403814@adventhealth.direct-ci.com

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 6

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1487224499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015002",
            "telephone_number": "407-834-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Don Wickham Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111977",
            "country_code": "US",
            "telephone_number": "352-394-1150",
            "fax_number": "352-394-1560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 W Gore St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061124",
            "country_code": "US",
            "telephone_number": "407-426-8484",
            "fax_number": "407-426-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLISE",
        "first_name": "LAUREN",
        "middle_name": "SOREL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.