Individual provider Active NPI

Xiomara Elisa Coffman, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1679463343
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11040864 Issued in FL
Practice address
385 Waymont CT
Lake Mary, FL 32746-3574
Phone
(407) 605-2185
NPI assigned
Jul 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 9565105 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11040864 FL Primary

Addresses

Primary practice location

385 Waymont CT
Lake Mary, FL 32746-3574

Mailing address

13196 SW 106TH St
Dunnellon, FL 34432-5016
Phone (352) 454-7599

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
I20251021003926 FL Practitioner - Nurse Practitioner 2769970888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serene Resolutions LLCGroup PAC ID 6204374416, 6 clinicians
Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Practice addresses (Care Compare)

1616 Concierge Blvd
Suite 100
Daytona Beach, FL 32117-7159
Phone (386) 235-0348

2345 Sand Lake Rd
Suite 200
Orlando, FL 32809-9140
Phone (407) 851-5121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9565105FLMDPsychiatric/Mental Health Registered Nurse
11040864FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Psychiatric Associates Inc. CurrentSince Sep 2, 2025 Accepting new patients

Locations

385 Waymont Ct
Lake Mary, FL 32746
Phone (407) 605-2185

2345 Sand Lake Rd
Ste 200
Orlando, FL 32809
Phone (407) 329-6599

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": "1751673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1679463343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13196 SW 106TH ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325016",
            "telephone_number": "352-454-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463574",
            "telephone_number": "407-605-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "XIOMARA",
        "middle_name": "ELISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9565105",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11040864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.