Active NPI
Bibish Mukena
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11034059
- Practice address
- 102 W Pineloch Ave Ste 23
Orlando, FL 32806-6100 - Phone
- (407) 852-2760
- Fax
- (321) 843-6729
- NPI assigned
- Oct 20, 2016
- Last updated
- Feb 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11034059 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 6731 | CT | |
| Family Nurse Practitioner | 363LF0000X | F339941 | NY | |
| Family Nurse Practitioner | 363LF0000X | AP135197 | TX |
Addresses
Primary practice location
102 W Pineloch Ave Ste 23
Orlando, FL 32806-6100
Mailing address
102 W Pineloch Ave Ste 23
Orlando, FL 32806-6100
Phone (407) 852-2760
Other practice location 1
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
Other practice location 2
1501 N Amburn Rd Ste 9
Texas City, TX 77591
Phone (281) 218-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 W Pineloch Ave
Suite 23
Orlando, FL 32806-6100
Phone (407) 852-2760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6731 | CT | MD | Family Nurse Practitioner |
| F339941 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| West Coast Wound and Skin Care Inc | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Matrix Medical of New York PC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Mobile Advantage Wound Care LLC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
5240 E Knight Dr
Ste 116
Tucson, AZ 85712
Phone (520) 320-5665
2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272
102 W Pineloch Ave
Ste 23
Orlando, FL 32806
Phone (407) 481-7139
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
220 N Kirkman Rd
Ste B
Orlando, FL 32811
Phone (407) 408-5910
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680
2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Orlando, FL
- NPI 1801787023
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
FL
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1619428026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W PINELOCH AVE STE 23",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066100",
"telephone_number": "407-852-2760",
"fax_number": "321-843-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W PINELOCH AVE STE 23",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066100",
"telephone_number": "407-852-2760",
"fax_number": "321-843-6729"
}
],
"practiceLocations": [
{
"address_1": "2015 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104534303",
"country_code": "US",
"telephone_number": "718-299-7295",
"fax_number": "718-299-6797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 N Amburn Rd Ste 9",
"address_purpose": "LOCATION",
"city": "Texas City",
"state": "TX",
"postal_code": "77591",
"country_code": "US",
"telephone_number": "281-218-7200",
"fax_number": "281-218-7203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKENA",
"first_name": "BIBISH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11034059",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6731",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F339941",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.