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MICHELLE REISMAN APRN
NPI 1326598400
Nurse Practitioner - Family in Leesburg, FL

Active since October 12, 2016Opted out of Medicare · through May 6, 2028
33017 PROFESSIONAL DR, LEESBURG, FL 34788(352) 314-2275(352) 314-2279 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Oct 12, 2016 (2 updates tracked since 2016).

About Michelle Reisman Aprn NPPES

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

MICHELLE REISMAN APRN (NPI 1326598400) is an individual family provider in Leesburg, Florida, licensed in Florida (ARNP9323676) and active in the NPI registry since October 2016. She has opted out of Medicare through May 6, 2028 and maintains a secondary practice location in Tavares.

NPPES Registry Identity

NPI1326598400
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE REISMANCredential: APRN
Location Address33017 PROFESSIONAL DRLeesburg, FL 34788-3750
Mailing Address33017 Professional DrLeesburg, FL 34788-3750 · (352) 314-2275 · Fax (352) 314-2279
Phone(352) 314-2275
Fax(352) 314-2279
Sole ProprietorYes
Enumeration DateOctober 12, 2016
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1326598400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9323676
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APRN9323676 (FL)
33017 PROFESSIONAL DR, Leesburg, FL 34788
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Secondary Practice Location 1

Location 11749 David Walker DrTavares, FL 32778-5745 · Phone (352) 343-3330 · Fax (352) 742-0354

Other Identifiers 1

Medicaid022572700FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle Reisman Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2026 through May 6, 2028.

Opt-Out Effective DateMay 6, 2026
Opt-Out In Effect ThroughMay 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. RAFAEL A CHEAS MD
Pediatrics
33017 PROFESSIONAL DR
LEESBURG, FL 34788
Lake County (352) 314-2275
SILVER LAKE PEDIATRICS, PA
Pediatrics
33017 PROFESSIONAL DR
LEESBURG, FL 34788
Lake County (352) 314-2275

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 Michelle Reisman's NPI number?

The NPI number for Michelle Reisman is 1326598400. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Michelle Reisman located?

Michelle Reisman practices at 33017 Professional Dr, Leesburg, FL 34788. The listed phone number is (352) 314-2275.

What is Michelle Reisman's specialty?

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

Is Michelle Reisman enrolled in Medicare?

No. Michelle Reisman has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Reisman was last updated on June 1, 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.