Lisandra Bienvenida Mejia, APRN
Nurse Practitioner, Family in Kissimmee, FL. Individual provider (NPI-1).
NPI number1114643277
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1114643277
- Entity type
- Individual (NPI-1)
- Name
- Lisandra Bienvenida Mejia
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2022
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11022150 | FL | Yes |
| 363L00000X | Nurse Practitioner | 11022150 | FL |
Practice location
2400 N Orange Blossom Trl Ste 302Kissimmee, FL 34744-2308
Phone 407-932-6193 · Fax 407-932-6194
Mailing address
2400 N Orange Blossom Trl Ste 302Kissimmee, FL 34744-2308
Phone 407-932-6193 · Fax 407-932-6194
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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