ANDREW DAVID SISISKY
NPI 1407637838
Nutritionist in Plantation, FL
About Andrew David Sisisky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW DAVID SISISKY (NPI 1407637838) is an individual nutritionist in Plantation, Florida, licensed in Florida (11028) and active in the NPI registry since October 2023. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Andrew David Sisisky 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Sisisky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ambler, PA 19002
- Reassigned Medicare billing, Pennsylvania enrollment
- 38 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.
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 Andrew Sisisky's NPI number?
The NPI number for Andrew Sisisky is 1407637838. It was assigned to this individual provider in the NPPES registry on October 11, 2023.
Where is Andrew Sisisky located?
Andrew Sisisky practices at 621 NW 108th Ave, Plantation, FL 33324. The listed phone number is (305) 710-4457.
What is Andrew Sisisky's specialty?
The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.
Is Andrew Sisisky enrolled in Medicare?
Yes. Andrew Sisisky 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 organization bills Medicare for Andrew Sisisky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Sisisky reassigns Medicare benefits to Simplex Health (Ambler, PA). The 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 Andrew Sisisky'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 Andrew Sisisky was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Andrew David Sisisky · NPI 1407637838
Nutritionist provider in Plantation, Florida. Individual provider, active in the CMS NPPES registry since October 11, 2023.
## Identity
- **NPI:** 1407637838 (Entity type: Individual)
- **Enumerated:** October 11, 2023
- **Primary specialty:** Nutritionist · taxonomy 133N00000X
- **State license:** 11028 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 621 NW 108TH AVE, Plantation, FL 33324-1002
- **Phone:** (305) 710-4457
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Simplex Health (NPI 1598137218, Ambler, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407637838) · Data from the CMS NPPES public registry.