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GISSELLE VAN ETTEN
NPI 1235809476
Nurse Practitioner - Family in Winter Garden, FL

Active since September 19, 2021PECOS Enrolled
530 SPRING LEAP CIR, WINTER GARDEN, FL 34787(407) 988-9393 Get Directions Write a Review

NPPES record last updated: September 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gisselle Van Etten NPPES

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

GISSELLE VAN ETTEN (NPI 1235809476) is an individual family provider in Winter Garden, Florida, licensed in Florida (11015464) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235809476
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGISSELLE VAN ETTEN
Location Address530 SPRING LEAP CIRWinter Garden, FL 34787-5298
Mailing Address530 Spring Leap CirWinter Garden, FL 34787-5298 · (407) 988-9393
Phone(407) 988-9393
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 19, 2021
NPPES CertifiedSeptember 19, 2021
✔ NPI 1235809476 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 · 11015464
530 SPRING LEAP CIR, Winter Garden, FL 34787
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gisselle Van Etten is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284007279
PECOS Enrollment IDI20230222000205, I20250919002716, I20251017003704
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 Gisselle Van Etten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakota Wellness, LLC
2.7 mi
Family Medicine
2910 MAGUIRE RD SUITE 1009
Ocoee, FL 34761
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1396070041 (407) 877-8707
Psynergy Health Med PLLC
9.4 mi
Primary Care
4901 VINELAND RD STE 350
Orlando, FL 32811
  • Reassigned Medicare billing, Florida, Tennessee and Virginia enrollments
  • 28 clinicians in this Medicare group
NPI 1891513420 (407) 469-5088

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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.

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 Gisselle Van Etten's NPI number?

The NPI number for Gisselle Van Etten is 1235809476. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Where is Gisselle Van Etten located?

Gisselle Van Etten practices at 530 Spring Leap Cir, Winter Garden, FL 34787. The listed phone number is (407) 988-9393.

What is Gisselle Van Etten's specialty?

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

Is Gisselle Van Etten enrolled in Medicare?

Yes. Gisselle Van Etten is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gisselle Van Etten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gisselle Van Etten reassigns Medicare benefits to 2 organizations: Lakota Wellness, LLC (Ocoee, FL) and Psynergy Health Med PLLC (Orlando, 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 Gisselle Van Etten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gisselle Van Etten was last updated on September 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.