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MINI HEALTH CLINIC KISSIMMEE LLC
NPI 1194690545
Nurse Practitioner - Adult Health in Kissimmee, FL

Active since October 07, 2025CLIA 10D2335964 · Waiver
318 N JOHN YOUNG PKWY STE 5, KISSIMMEE, FL 34741(352) 227-3000(352) 505-7738 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mini Health Clinic Kissimmee Llc NPPES

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

MINI HEALTH CLINIC KISSIMMEE LLC (NPI 1194690545) is a healthcare organization registered as an adult health in Kissimmee, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Tresha Elizabeth Williams, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1194690545
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameMINI HEALTH CLINIC KISSIMMEE LLC
Location Address318 N JOHN YOUNG PKWY STE 5Kissimmee, FL 34741-4927
Mailing Address318 N John Young Pkwy Ste 5Kissimmee, FL 34741-4927 · (352) 227-3000 · Fax (352) 505-7738
Phone(352) 227-3000
Fax(352) 505-7738
Organization SubpartNo
Authorized OfficialTresha Elizabeth WilliamsOwner/nurse Practitioner · (689) 263-3351
Enumeration DateOctober 7, 2025
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1194690545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
318 N JOHN YOUNG PKWY STE 5, Kissimmee, FL 34741
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mini Health Clinic Kissimmee Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mini Health Clinic Kissimmee LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tresha Williams, AGACNP-BC
Nurse Practitioner
NPI 1518402403
305 OCEANSIDE CT
Kissimmee, FL 34743
(407) 301-7860
✔ PECOS4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2335964

Mini Health Clinic Kissimmee LLC · Kissimmee, FL
Active · expires Dec 21, 2027
CLIA Number10D2335964
Laboratory TypePractitioner Other
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorTresha E. Williams
Laboratory Phone(352) 227-3000
Laboratory LocationMini Health Clinic Kissimmee LLC318 North John Young Parkway Suite 5, Kissimmee, FL 34741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mini Health Clinic Kissimmee LLC's NPI number?

The NPI number for Mini Health Clinic Kissimmee LLC is 1194690545. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Mini Health Clinic Kissimmee LLC located?

Mini Health Clinic Kissimmee LLC is located at 318 N John Young Pkwy Ste 5, Kissimmee, FL 34741. The listed phone number is (352) 227-3000.

What is Mini Health Clinic Kissimmee LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mini Health Clinic Kissimmee LLC enrolled in Medicare?

Yes. Mini Health Clinic Kissimmee LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mini Health Clinic Kissimmee LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mini Health Clinic Kissimmee LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mini Health Clinic Kissimmee LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2335964) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mini Health Clinic Kissimmee LLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.