Individual provider Active NPI

Victor Cisneros, MSN, NP-C, CMSRN

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1811409402
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9347840 Issued in FL
Practice address
1265 36TH St
Vero Beach, FL 32960-6574
Phone
(772) 567-6340
NPI assigned
Nov 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 9347840 FL Primary

Addresses

Primary practice location

1265 36TH St
Vero Beach, FL 32960-6574

Mailing address

1265 36TH St
Vero Beach, FL 32960-6574
Phone (772) 567-6340

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
I20190529000310 FL Practitioner - Nurse Practitioner 8921368903 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Boynton Urgent Care LLCGroup PAC ID 0941456537, 7 clinicians
Hma-Solantic Joint Venture LLCGroup PAC ID 6002955788, 8 clinicians
Restore Health Management LLCGroup PAC ID 4688972896, 5 clinicians
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians

Practice addresses (Care Compare)

129 S State Rd
7 Suite 401
Royal Palm Beach, FL 33414-4379
Phone (561) 425-7801

1820 58TH Ave
Suite 110
Vero Beach, FL 32966-4675
Phone (772) 257-3200

1840 Eldron Blvd
Suite 1
Palm Bay, FL 32909-6871
Phone (772) 226-6868

4450 N State Rd
7 Suite 1
Coral Springs, FL 33073-3354
Phone (954) 633-1422

8756 Boynton Beach Blvd
Suite 150
Boynton Beach, FL 33472-4442
Phone (561) 740-2273

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
24.58
Promoting interoperability
100
Improvement activities
0
Cost
74.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9347840FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince Apr 29, 2024 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Nov 24, 2020 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 27, 2024 Accepting new patients
Restore Health Management LLC CurrentSince Feb 8, 2025 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 23, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Mar 23, 2023 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Apr 29, 2024 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Mar 27, 2024 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Apr 29, 2024 Accepting new patients

Locations

512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

4450 N State Road 7
Ste 1
Coral Springs, FL 33073
Phone (423) 408-7220

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

1840 Eldron Blvd SE
Ste 1
Palm Bay, FL 32909
Phone (321) 312-4580

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1205 N University Dr
Pompano Beach, FL 33071
Phone (954) 780-8134

640 21st St
Vero Beach, FL 32960
Phone (772) 299-1092

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1811409402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606574",
            "telephone_number": "772-567-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606574",
            "telephone_number": "772-567-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "VICTOR",
        "credential": "MSN, NP-C, CMSRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2023-09-12",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9347840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.