Individual provider Active NPI

Jorick Mikhael De Guzman Sison, FNP-BC

  • Family Nurse Practitioner
  • Land O Lakes, FL
National Provider Identifier
1760070726
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010246 Issued in FL
Practice address
3202 Shady Lily LN
Land O Lakes, FL 34638-8066
Phone
(813) 205-6731
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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 APRN11010246 FL Primary

Addresses

Primary practice location

3202 Shady Lily LN
Land O Lakes, FL 34638-8066

Mailing address

3202 Shady Lily LN
Land O Lakes, FL 34638-8066
Phone (813) 205-6731

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
I20221102002825 FL Practitioner - Nurse Practitioner 3173990298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Medical Group PLGroup PAC ID 8224266655, 68 clinicians

Practice addresses (Care Compare)

4801 N Howard Ave
Tampa, FL 33603-1411
Phone (813) 929-5470

515 Chesapeake Dr
Tarpon Springs, FL 34689-2515
Phone (813) 779-6303

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • H Lee Moffitt Cancer Center & Research Institute I Hospital, Tampa, FL, CCN 100271
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010246FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group, PL Family CurrentSince May 1, 2024 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Aug 21, 2024 Accepting new patients
VP Health PLLC CurrentSince Aug 3, 2022 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 3

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 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1760070726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 SHADY LILY LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388066",
            "telephone_number": "813-205-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 SHADY LILY LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388066",
            "telephone_number": "813-205-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "JORICK MIKHAEL",
        "middle_name": "DE GUZMAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.