Individual provider Active NPI

Emmanuelle Ballenilla, APN

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1629443676
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9204317 Issued in FL
Practice address
7221 Aloma Ave Ste 200
Winter Park, FL 32792-7137
Phone
(407) 657-2111
Fax
(866) 725-4812
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9204317 FL Primary

Addresses

Primary practice location

7221 Aloma Ave Ste 200
Winter Park, FL 32792-7137

Mailing address

7221 Aloma Ave Ste 200
Winter Park, FL 32792-7137
Phone (407) 537-9852

Other practice location 1

2437 E Semoran Blvd
Apopka, FL 32703-5806
Phone (407) 609-7722

Other identifiers 1

IdentifierTypeStateIssuer
115044100MedicaidFL

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
I20160129002198 FL Practitioner - Nurse Practitioner 4486957164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians
Alilin Family Medicine LLCGroup PAC ID 3577639335, 5 clinicians

Practice addresses (Care Compare)

2437 E Semoran Blvd
Apopka, FL 32703-5806
Phone (407) 609-7722

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

7221 Aloma Ave
Suite 200
Winter Park, FL 32792-7137
Phone (407) 657-2111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alilin Family Medicine LLC CurrentSince May 19, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Family PastSince Aug 24, 2026 Accepting new patients
Afm Healthcare PastSince May 19, 2024 Accepting new patients

Locations

7221 Aloma Ave
Ste 200
Winter Park, FL 32792
Phone (407) 657-2111

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHDBD

Organizations & group practices 3

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 2

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1629443676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ALOMA AVE STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927137",
            "telephone_number": "407-537-9852",
            "fax_number": "866-725-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ALOMA AVE STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927137",
            "telephone_number": "407-657-2111",
            "fax_number": "866-725-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2437 E Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327035806",
            "country_code": "US",
            "telephone_number": "407-609-7722",
            "fax_number": "407-609-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLENILLA",
        "first_name": "EMMANUELLE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9204317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115044100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.