Heather Elizabeth Bisignano, APRN-C
Individual provider Active NPI Adult Health Nurse Practitioner · Tavares, FL
NPI 1639710437 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1639710437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 11004346 (FL)
- Practice address
- 1000 Waterman Way
Tavares, FL 32778-5266 - Phone
- (352) 253-3702
- Fax
- (352) 742-3581
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Hospital Healthcare Partners, Inc
Hospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
601 E Altamonte Dr
Altamonte SPG, FL 32701-4802
Phone (407) 303-2200
Hospital & facility affiliations
- Adventhealth Waterman
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191029001963 | FL | Practitioner - Nurse Practitioner | 8921330762 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004346 | FL | MD | Adult Health Nurse Practitioner |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Cardiology & Vascular Center LLC | Current |
Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current |
Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current |
Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
4901 International Pkwy
Ste 1031
Sanford, FL 32771
Phone (321) 275-1750
1825 Salk Ave
Tavares, FL 32778
Phone (316) 204-3682
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- hbisignano71148@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11004346 | FL | Yes |
Addresses
Primary practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
PO Box 945921
Atlanta, GA 30394-5921
Phone (352) 253-3702
Other practice location 1
1825 Salk Ave
Tavares, FL 32778-4311
Phone (352) 343-1158
Other providers in Tavares, FL
- Youstina Beshay
- Bevels Up Mobile Phlebotomy
- Shilpesh Bhukhan
- Murielle Nathalie Bingan
- Rhea Jeannine Birusingh
- Scott Ray Blackstock
- Perth Agusta Blake
- BLC Tavares-GC,LLC
- Blessed Behavioral & Health Services LLC
- Nina Blum
All providers in Tavares, FL · Adult Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.