Jillian Lisiakowski, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11030648 Issued in FL

Practice address

2824 Enterprise Rd
Orange City, FL 32763-8428

Phone

(386) 774-7411

Fax

(386) 774-7412

NPI assigned

Oct 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL, TX, NY, OH5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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.

• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962
  Medicare reassignment Care Compare group NPD
• Caringathome, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1912595828

  Family

  Medicare reassignment NPD
• Careathome Medical Practice Ky

  • Family Medicine Physician
  • New York, NY
  • NPI 1467040345

  OH, TX

  Medicare reassignment NPD
• Five Star Medical Office PC

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1760731459
  Medicare reassignment NPD
• Pruitthealth Hospice, Inc

  • Community Based Hospice Care Agency
  • Swainsboro, GA
  • NPI 1013955749
  Medicare reassignment NPD
• Urban Family Practice PC

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099

  Family, NY

  Medicare reassignment NPD
• Careathome Medical Practice

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891319810

  Family

  NPD
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1235177205
  NPD
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Greenville, NC
  • NPI 1992744361
  NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1508973231
  NPD (past)
• Perfect Health PC

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1861815300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1609475151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 ENTERPRISE RD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638428",
            "telephone_number": "386-774-7411",
            "fax_number": "386-774-7412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Madison Ave Ste 2817",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165101",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6060 Lakeside Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312105778",
            "country_code": "US",
            "telephone_number": "478-745-9204",
            "fax_number": "478-745-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISIAKOWSKI",
        "first_name": "JILLIAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo T Lim Jr., PA-C
• Menn Li Lin, P.T
• Wei-Hsin Lin
• Anna Lines, ARNP
• Angela Link, P.T.
• Arthur N Litowitz, DMD
• Litowitz, Orthodontist, D.M.D., P.a.
• Yuxin Liu
• Elvira Livigni-Dearmas, AUD
• Jaeda Lockhart

• Family Nurse Practitioner in Orange City, FL
• Providers in Orange City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.