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Active NPI 1518493196 Individual Practitioner Female Practitioner

Imtithal Kisirwan , APRN, AGACNP, FNP

Nurse Practitioner • Weston, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Imtithal Kisirwan, APRN, AGACNP, FNP is a certified Nurse Practitioner practicing in Weston, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Imtithal Kisirwan delivers high-quality medical care to the local community at 3100 WESTON RD.

Imtithal Kisirwan is affiliated with Mayo Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3100 Weston Rd

Weston, FL 333313602

Telephone 9546595000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Weston, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +4.7 yrs vs City Avg
City Avg: 12.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Weston, FL (8990 Statewide)

Telehealth Adoption Rate
29.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kisirwan (17 Years) 17 Yrs
Weston Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
176 174 $985.00 $143.39
99284 Emergency department visit with moderate level of medical decision making
44 44 $705.00 $98.93

Medical Specialties & State Licenses

CMS Verified: 2026-07-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL 11046769

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MN CNP5149

(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.

Hospital & Practice Group Affiliations

Mayo Clinic

200 1st St Sw, Rochester, MN 559050001

Phone: 5072842511

Secondary Practice Locations

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Hannah Goldman-Daleo , MD

Student in an Organized Health Care Education/Training Program

NPI 1003502543

Doctor of Medicine (M.D.)

Dr. Ramez Barsoom , MD

Internal Medicine

NPI 1003519042

Doctor of Medicine (M.D.)

NPI 1003879453

Doctor of Medicine (M.D.)

Dr. Brandon Wilkinson , MD

Neurological Surgery

NPI 1013470988

Doctor of Medicine (M.D.)

Dr. Mauricio Sarmiento Cobos , MD

Student in an Organized Health Care Education/Training Program

NPI 1013646801

Doctor of Medicine (M.D.)

Dr. Kevin Dwyer , DO

Student in an Organized Health Care Education/Training Program

NPI 1013703859

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location July 14, 2026

Registered at 3100 WESTON RD, WESTON, FL 333313602 (Tel: 9546595000)

📍
Updated Business Mailing Address July 14, 2026

Registered at 3100 WESTON RD, WESTON, FL 333313602 (Tel: 9546595000)

👤
Provider Name / Credentials Updated July 14, 2026

Recorded as IMTITHAL KISIRWAN, APRN, AGACNP, FNP

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Business Mailing Address June 14, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: (507) 284-2511)

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as IMTITHAL KISIRWAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Nurse Practitioner (License #CNP5149 in MN)

📍
Updated Business Mailing Address May 25, 2017

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Nurse Practitioner (License #CNP5149 in MN)

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 1705 SAINT PAUL ST, 3RD FLOOR, BALTIMORE, MD 212022866 (Tel: 4435406338)

📍
Updated Business Mailing Address May 03, 2017

Registered at 1705 SAINT PAUL ST, 3RD FLOOR, BALTIMORE, MD 212022866 (Tel: 4435406338)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as IMTITHAL KISIRWAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518493196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2017
Last Update: July 14, 2026
Sole Proprietor: No

Mailing Address

3100 Weston Rd

Weston, FL 333313602

Phone: 9546595000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.