Individual provider Active NPI

Kristan Noel Stiss, APRN

  • Family Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1750913604
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003420 Issued in FL
Practice address
2111 Sole Mia Way
North Miami, FL 33181
Phone
(305) 243-4000
NPI assigned
Feb 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 11003420 FL Primary

Addresses

Primary practice location

2111 Sole Mia Way
North Miami, FL 33181

Mailing address

2111 Sole Mia Way
North Miami, FL 33181
Phone (305) 243-4000

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
I20200820002524 FL Practitioner - Nurse Practitioner 3779909726 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003420FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Aug 31, 2023 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

6330 Sunset Dr
Ste 100
South Miami, FL 33143
Phone (305) 927-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kbest77666@direct.med.miami.edu

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": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1750913604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SOLE MIA WAY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-243-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SOLE MIA WAY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "305-243-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STISS",
        "first_name": "KRISTAN",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.