Individual provider Active NPI

Lisa Marie Stiles, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1639680721
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9291927 Issued in FL
Practice address
11600 S Orange Blossom TRL
Orlando, FL 32837-9215
Phone
(855) 925-4733
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 ARNP9291927 FL Primary

Addresses

Primary practice location

11600 S Orange Blossom TRL
Orlando, FL 32837-9215

Mailing address

12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501
Phone (321) 841-9514

Other practice location 1

5900 Turkey Lake Rd
Orlando, FL 32819-4216
Phone (407) 351-9696

Other practice location 2

12780 Waterford Lakes Pkwy Ste 120
Orlando, FL 32828-4501
Phone (321) 841-9514

Other identifiers 1

IdentifierTypeStateIssuer
128036700MedicaidFL

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
I20181128001665 FL Practitioner - Nurse Practitioner 9830433119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

12780 Waterford Lakes Pkwy
Suite 120
Orlando, FL 32828-4501
Phone (407) 380-5888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9291927FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Aug 1, 2025 Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients

Locations

12780 Waterford Lakes Pkwy
Ste 120
Orlando, FL 32828
Phone (407) 380-5888

1414 Kuhl Ave
#65
Orlando, FL 32806

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 2

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639680721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284501",
            "telephone_number": "321-841-9514",
            "fax_number": "407-636-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379215",
            "telephone_number": "855-925-4733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Turkey Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328194216",
            "country_code": "US",
            "telephone_number": "407-351-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12780 Waterford Lakes Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328284501",
            "country_code": "US",
            "telephone_number": "321-841-9514",
            "fax_number": "407-636-7864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9291927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128036700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.