Alexander Joseph Ziesemer, APRN

Individual provider Active NPI Family Nurse Practitioner · Sanford, FL

NPI 1669956215 · NPPES record last updated May 3, 2024

Key facts

NPI
1669956215
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
ARNP9308961 (FL)
Practice address
4425 W 1St St FL 32771
Sanford, FL 32771-9082
Phone
(407) 915-0164
NPI assigned
Sep 19, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health System Sunbelt Inc (93 clinicians)

Practice addresses (Care Compare)

1418 E Burleigh Blvd
Tavares, FL 32778-4328
Phone (352) 508-4030

4425 W 1St St
Sanford, FL 32771-9082
Phone (407) 915-0164

4451 W 1St St
Sanford, FL 32771-9082
Phone (407) 200-2300

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

Hospital & facility affiliations

  • Adventhealth Waterman Hospital · Tavares, FL · CCN 100057
  • Adventhealth Daytona Beach Hospital · Daytona Beach, FL · CCN 100068
  • Adventhealth Orlando Hospital · Orlando, FL · CCN 100007

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 IDStateProvider typePAC IDDetails
I20181214000674 FL Practitioner - Nurse Practitioner 1456696772 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9308961FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Current
since Aug 30, 2022
Accepting new patients
VMD Primary Providers Central Florida PLLC Current
since Aug 30, 2022
Accepting new patients
Adventist Health System/Sunbelt, Inc Family Current
since Mar 21, 2024
Accepting new patients
Adventist Health System/Sunbelt, Inc Current
since Mar 21, 2024
Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
VMD Primary Providers Central Florida PLLC Past
since May 8, 2022
Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

4425 W 1st St
Sanford, FL 32771
Phone (352) 427-6770

10121 Seminole Blvd
#100
Seminole, FL 33772

Interoperability endpoints

  • Direct secure messaging: aziesemer189814@adventhealth.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9308961 FL Yes

Addresses

Primary practice location

4425 W 1St St FL 32771
Sanford, FL 32771-9082

Mailing address

4425 W 1St St
Sanford, FL 32771-9082

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2024.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1669956215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W 1ST ST FL 32771",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719082",
            "telephone_number": "407-915-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIESEMER",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9308961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

All providers in Sanford, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.