GUSTAVO A. MANRIQUE PICO APRN
NPI 1205132982
Nurse Practitioner - Family in Kissimmee, FL

Active since January 28, 2011PECOS EnrolledAccepts Medicare Assignment
2400 N ORANGE BLOSSOM TRL STE 210, KISSIMMEE, FL 34744(407) 933-2500 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2025, Aug 9, 2024, Jul 24, 2024 (3 updates tracked since 2024).

About Gustavo A. Manrique Pico Aprn NPPES

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

GUSTAVO A. MANRIQUE PICO APRN (NPI 1205132982) is an individual family provider in Kissimmee, Florida, licensed in Florida (APRN11031976) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1205132982
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGUSTAVO A. MANRIQUE PICOCredential: APRN
Location Address2400 N ORANGE BLOSSOM TRL STE 210Kissimmee, FL 34744-2308
Mailing Address2400 N Orange Blossom Trl Ste 210Kissimmee, FL 34744-2308 · (407) 933-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 28, 2011
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1205132982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11031976
2400 N ORANGE BLOSSOM TRL STE 210, Kissimmee, FL 34744

Secondary Practice Location 1

Location 1160 W Tyler St Unit 355Tampa, FL 33602-3926 · Phone (713) 256-2182

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gustavo A. Manrique Pico Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234670068
PECOS Enrollment IDI20240920000716
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gustavo Manrique Pico reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34744 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 4

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

Surgery
2400 N ORANGE BLOSSOM TRL STE 210
KISSIMMEE, FL 34744
Physician Assistant
2400 N ORANGE BLOSSOM TRL STE 210
KISSIMMEE, FL 34744
Physician Assistant
2400 N ORANGE BLOSSOM TRL STE 210
KISSIMMEE, FL 34744
Urology
2400 N ORANGE BLOSSOM TRL STE 210
KISSIMMEE, FL 34744

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 Gustavo Manrique Pico's NPI number?

The NPI number for Gustavo Manrique Pico is 1205132982. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Gustavo Manrique Pico located?

Gustavo Manrique Pico practices at 2400 N Orange Blossom Trl Ste 210, Kissimmee, FL 34744. The listed phone number is (407) 933-2500.

What is Gustavo Manrique Pico's specialty?

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

Is Gustavo Manrique Pico enrolled in Medicare?

Yes. Gustavo Manrique Pico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gustavo Manrique Pico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Manrique Pico reassigns Medicare benefits to 2 organizations: Florida Hospital Medical Group Inc (Orlando, FL) and Millennium Physician Group LLC (Fort Myers, FL). Each 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 Gustavo Manrique Pico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gustavo Manrique Pico accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Gustavo Manrique Pico as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gustavo Manrique Pico affiliated with any hospitals?

According to CMS data, Gustavo Manrique Pico is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Gustavo Manrique Pico was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.