Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Bisplinghoff

Individual provider Physician Assistant · NPI 1811758642

Alicia Bisplinghoff is a Physician Assistant in Port Charlotte, Florida. Graduated from Florida State University College of Medicine in 2023, 3 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Trained at
Florida State University College of Medicine
Licensed in
FL
In the registry since
2024

Practice location Address checks out

4130 Tamiami Trl # 2
Port Charlotte, FL 33952-9207
Phone: (941) 787-7111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9118351 (FL)

Record details

NPI number1811758642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations16 on file with Medicare

Other providers in Port Charlotte