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

Q: 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.

Q: What is Gustavo Manrique Pico's specialty?

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

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: August 30, 2026.

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

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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

Phone(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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

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 5

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

ROBERTO JOSE ARIAS GAUTREAUX M.D.

Surgery