Individual provider Active NPI

Lisandra Frezek, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1982293668
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011045 Issued in FL
Practice address
1140 W 50TH St Ste 301
Hialeah, FL 33012-3411
Phone
(305) 827-0208
Fax
(305) 827-0280
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 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 11011045 FL Primary

Addresses

Primary practice location

1140 W 50TH St Ste 301
Hialeah, FL 33012-3411

Mailing address

15293 SW 39TH Ter
Miami, FL 33185-4716
Phone (786) 804-7409

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
I20220217001907 FL Practitioner - Nurse Practitioner 2163815051 Reassigns benefits to 1 organization

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
Wellness Therapy and Medical Care Center IncGroup PAC ID 1557598182, 7 clinicians

Practice addresses (Care Compare)

1140 W 50TH St
Suite 301
Hialeah, FL 33012-3411
Phone (305) 827-0208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011045FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lfrezek Medical Services Inc Current Accepting new patients
Wellness Therapy & Medical Care Center Inc CurrentSince Nov 17, 2021 Accepting new patients

Locations

1140 W 50th St
Ste 301
Hialeah, FL 33012
Phone (305) 558-2930

8040 NW 155th St
Miami Lakes, FL 33016
Phone (305) 827-0208

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1982293668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15293 SW 39TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854716",
            "telephone_number": "786-804-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST STE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123411",
            "telephone_number": "305-827-0208",
            "fax_number": "305-827-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREZEK",
        "first_name": "LISANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.