Individual provider Active NPI

Krystol Raye Mascola, WHNP-BC AOCNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1619561834
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11024386 Issued in FL
Practice address
1400 S Orange Ave
Orlando, FL 32806-2134
Phone
(321) 841-1869
NPI assigned
Feb 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11024386 FL
Adult Health Nurse Practitioner 363LA2200X APRN11024386 FL Primary

Addresses

Primary practice location

1400 S Orange Ave
Orlando, FL 32806-2134

Mailing address

1400 S Orange Ave
Orlando, FL 32806-2134
Phone (877) 876-3627

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
I20230613003150 FL Practitioner - Nurse Practitioner 2062892656 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
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1300 W Oak St
Kissimmee, FL 34741-4024
Phone (407) 944-5240

1400 S Orange Ave
Orlando, FL 32806-2134
Phone (321) 841-6600

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

380 Celebration PL
FL 2
Celebration, FL 34747-4606
Phone (321) 939-3553

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024386FLMDNurse Practitioner
APRN11024386FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Jul 31, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

2400 N Orange Blossom Trl
Ste 205
Kissimmee, FL 34744
Phone (407) 944-5240

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

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

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 3

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": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1619561834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062134",
            "telephone_number": "877-876-3627",
            "fax_number": "321-841-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062134",
            "telephone_number": "321-841-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCOLA",
        "first_name": "KRYSTOL",
        "middle_name": "RAYE",
        "credential": "WHNP-BC AOCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11024386",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11024386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.