Individual provider Active NPI

Aisha Maldonado, FNP

  • Adult Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1578035903
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11002154 Issued in FL
Practice address
1001 E Osceola Pkwy Ste 3200
Kissimmee, FL 34744-1616
Phone
(321) 841-6444
Fax
(407) 650-1307
NPI assigned
Dec 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12180320 FL
Adult Health Nurse Practitioner 363LA2200X APRN11002154 FL Primary

Addresses

Primary practice location

1001 E Osceola Pkwy Ste 3200
Kissimmee, FL 34744-1616

Mailing address

1001 E Osceola Pkwy Ste 3200
Kissimmee, FL 34744-1616
Phone (321) 841-6444

Other identifiers 1

IdentifierTypeStateIssuer
102948100MedicaidFL

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
I20190606001746 FL Practitioner - Nurse Practitioner 1951634989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12180320FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Jan 30, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Jan 30, 2024 Accepting new patients

Locations

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

1001 E Osceola Pkwy
Kissimmee, FL 34744
Phone (321) 842-1270

1001 E Osceola Pkwy
Ste 3200
Kissimmee, FL 34744

795 Primera Blvd
Ste 1021
Lake Mary, FL 32746

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

1711 Amazing Way
Ste 206
Ocoee, FL 34761

7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357

2859 Delaney Ave
Ste 100
Orlando, FL 32806

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

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

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

9430 Turkey Lake Rd
Ste 116
Orlando, FL 32819

6718 Lake Nona Blvd
Ste 240
Orlando, FL 32827
Phone (407) 619-6192

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aisha.maldonado.1@29679.direct.athenahealth.com
  • Direct secure messaging: amaldonado27732@orlandohealth.medalliesdirect.net

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": "1545696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1578035903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E OSCEOLA PKWY STE 3200",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441616",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E OSCEOLA PKWY STE 3200",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441616",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "AISHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-25",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F12180320",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11002154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102948100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.