Individual provider Active NPI

Monique Susan Walen, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1487344172
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11026048 Issued in FL
Practice address
2281 Lee Rd Ste 102
Winter Park, FL 32789-7205
Phone
(407) 937-8592
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11026048 FL Primary

Addresses

Primary practice location

2281 Lee Rd Ste 102
Winter Park, FL 32789-7205

Mailing address

2281 Lee Rd Ste 102
Winter Park, FL 32789-7205
Phone (407) 937-8592

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
I20230913002311 FL Practitioner - Nurse Practitioner 2769846419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suboxone Health Clinic LLCGroup PAC ID 0143687210, 8 clinicians

Practice addresses (Care Compare)

2281 Lee Rd
Suite 102
Winter Park, FL 32789-7205
Phone (386) 848-8751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11026048FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suboxone Health Clinic LLC CurrentSince Mar 31, 2025 Accepting new patients

Locations

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

2281 Lee Rd
Ste 102
Winter Park, FL 32789
Phone (386) 848-8751

Organizations & group practices 1

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1487344172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 LEE RD STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897205",
            "telephone_number": "407-937-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 LEE RD STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897205",
            "telephone_number": "407-937-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALEN",
        "first_name": "MONIQUE",
        "middle_name": "SUSAN",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11026048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.