Individual provider Active NPI

Alissa Gwen Ledgerwood, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1770971343
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9251745 Issued in FL
Practice address
1646 33Rd St
Suite 101
Orlando, FL 32839-8866
Phone
(407) 409-8118
Fax
(407) 264-6562
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 ARNP9251745 FL Primary

Addresses

Primary practice location

1646 33Rd St
Suite 101
Orlando, FL 32839-8866

Mailing address

3160 Southgate Commerce Blvd
Orlando, FL 32806-8549
Phone (407) 859-4540

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
I20150324000505 FL Practitioner - Nurse Practitioner 4486971868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

1855 Veterans Park Dr
Suite 103
Naples, FL 34109-0446
Phone (239) 596-5220

5750 Major Blvd
Suite 150
Orlando, FL 32819-7971
Phone (407) 409-8118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9251745FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC CurrentSince Mar 22, 2020 Accepting new patients
Bolad Arthritis & Rheumatology Clinic, P.a. CurrentSince May 1, 2017 Accepting new patients

Locations

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

1855 Veterans Park Dr
Ste 103
Naples, FL 34109
Phone (239) 331-5114

5750 Major Blvd
Ste 150
Orlando, FL 32819
Phone (407) 409-8118

1646 33rd St
Ste 101
Orlando, FL 32839
Phone (407) 409-8118

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: alissa.ledgerwood.p79@direct.aara1.nextgenshare.com

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1770971343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068549",
            "telephone_number": "407-859-4540",
            "fax_number": "407-859-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 33RD ST",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328398866",
            "telephone_number": "407-409-8118",
            "fax_number": "407-264-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDGERWOOD",
        "first_name": "ALISSA",
        "middle_name": "GWEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9251745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.