DR. ALICIA SELF DNP-FNP-C
NPI 1154885804
Nurse Practitioner - Family in Lakeland, FL

Q: What is Alicia Self's NPI number?

The NPI number for Alicia Self is 1154885804. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Q: What is Alicia Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Self was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2019PECOS Enrolled

211 E MAIN ST # 435, LAKELAND, FL 33801(863) 595-6909 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2026, Mar 27, 2025, May 20, 2020 and 3 more (6 updates tracked since 2019).

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About Dr. Alicia Self Dnp-fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICIA SELF DNP-FNP-C (NPI 1154885804) is an individual family provider in Lakeland, Florida, licensed in Florida (APRN11002709) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1154885804

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. ALICIA SELFCredential: DNP-FNP-C

Location Address211 E MAIN ST # 435Lakeland, FL 33801-4628

Mailing AddressPo Box 971Kathleen, FL 33849-0971 · (863) 944-6977

Phone(863) 595-6909

Sole ProprietorYes

Enumeration DateJanuary 28, 2019

Last NPPES UpdateMay 25, 20266 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1154885804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11002709

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9655562 (FL)

Also ListedNurse PractitionerTaxonomy 363L00000X · License C-APN.0102110-C-NP (CO), 308247 (AZ)

211 E MAIN ST # 435, Lakeland, FL 33801

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Secondary Practice Location 1

Location 11501 Biscayne BlvdMiami, FL 33132-1449 · Phone (877) 870-0323 · Fax (866) 427-3798

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alicia Self Dnp-fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPULENT MEDICAL CARE LLC

Clinic/Center

211 E MAIN ST # 435
LAKELAND, FL 33801

Polk County (863) 944-6977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Self's NPI number?

The NPI number for Alicia Self is 1154885804. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Alicia Self located?

Alicia Self practices at 211 E Main St # 435, Lakeland, FL 33801. The listed phone number is (863) 595-6909.

What is Alicia Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alicia Self enrolled in Medicare?

Yes. Alicia Self is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Self was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.