EMMANUELA DERISBRUN NURSE PRACTITIONER
NPI 1710561592
Nurse Practitioner in Longwood, FL

Q: What is Emmanuela Derisbrun's NPI number?

The NPI number for Emmanuela Derisbrun is 1710561592. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Q: What is Emmanuela Derisbrun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 08, 2021PECOS Enrolled

1917 BOOTHE CIR, LONGWOOD, FL 32750(407) 679-3337 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Emmanuela Derisbrun Nurse Practitioner NPPES

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

EMMANUELA DERISBRUN NURSE PRACTITIONER (NPI 1710561592) is an individual nurse practitioner in Longwood, Florida, licensed in Florida (F12200582) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710561592

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEMMANUELA DERISBRUNCredential: NURSE PRACTITIONER

Location Address1917 BOOTHE CIRLongwood, FL 32750-6708

Mailing Address1917 Boothe CirLongwood, FL 32750-6708 · (407) 679-3337

Phone(407) 679-3337

Sole ProprietorYes

Enumeration DateMay 8, 2021

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1710561592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · F12200582

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1917 BOOTHE CIR, Longwood, FL 32750

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmanuela Derisbrun Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32750 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 3

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

DR. DAVID S KLEIN M.D.,FACA,FACPM

Anesthesiology (Pain Medicine)

1917 BOOTHE CIR
LONGWOOD, FL 32750

Seminole County (407) 679-3337

MS. KIMBERLY JEAN LUEDECKE ARNP

Nurse Practitioner (Acute Care)

1917 BOOTHE CIR
LONGWOOD, FL 32750

Seminole County (407) 679-3337

STAGES OF LIFE MEDICAL INSTITUTE

Anesthesiology (Pain Medicine)

1917 BOOTHE CIR
LONGWOOD, FL 32750

Seminole County (407) 679-3337

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 Emmanuela Derisbrun's NPI number?

The NPI number for Emmanuela Derisbrun is 1710561592. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Emmanuela Derisbrun located?

Emmanuela Derisbrun practices at 1917 Boothe Cir, Longwood, FL 32750. The listed phone number is (407) 679-3337.

What is Emmanuela Derisbrun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Emmanuela Derisbrun enrolled in Medicare?

Yes. Emmanuela Derisbrun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmanuela Derisbrun was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.