Individual provider Active NPI

Lillianne Nassar

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1841905353
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119318 Issued in FL
Practice address
9430 Turkey Lake Rd
Orlando, FL 32819-8015
Phone
(800) 827-7546
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119318 FL Primary

Addresses

Primary practice location

9430 Turkey Lake Rd
Orlando, FL 32819-8015

Mailing address

725 E Oak St
Kissimmee, FL 34744-4591
Phone (800) 827-7546

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
I20241125001032 FL Practitioner - Physician Assistant 2365977501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

1118 Cypress Glen Cir
Kissimmee, FL 34741-7559
Phone (407) 846-7546

1132 Cypress Glen Cir
Kissimmee, FL 34741-7559
Phone (407) 846-7546

400 Celebration PL
A 120
Celebration, FL 34747-4970
Phone (407) 846-7546

725 E Oak St
Kissimmee, FL 34744-4591
Phone (407) 846-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1841905353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444591",
            "telephone_number": "800-827-7546",
            "fax_number": "407-933-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 TURKEY LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198015",
            "telephone_number": "800-827-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "LILLIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.