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
Hospital & facility affiliations 5
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
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
- Adventhealth Daytona Beach
- 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 |
|---|---|---|---|---|
| I20181214000674 | FL | Practitioner - Nurse Practitioner | 1456696772 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9308961 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Florida PLLC | Current |
Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Current |
Accepting new patients | |
| Adventist Health System/Sunbelt, Inc | Family | Current |
Accepting new patients |
| Adventist Health System/Sunbelt, Inc | Current |
Accepting new patients | |
| Adventist Health System Sunbelt Inc | Family | Current | Accepting new patients |
| VMD Primary Providers Central Florida PLLC | Past |
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
- aziesemer189814@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Salma Victor Samir Youssef
- Tazeen Tahir Zaidi
- Zealene Hatcher, Inc.
- Mehwish Zehra
- Zeinab Hamid Zidan
- Shawn Zorn
- Jenna Zuyus
All providers in Sanford, FL · Family 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 3, 2024. 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.