NPIMap

Individual provider Active NPI

Lance Feller, M.D.

  • Rheumatology Physician
  • Lake Mary, FL
National Provider Identifier
1154601144
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME137059 Issued in FL
Practice address
795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone
(386) 561-9967
NPI assigned
Aug 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME137059 FL Primary

Addresses

Primary practice location

795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191

Mailing address

795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone (386) 561-9967

Other practice location 1

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967

Other identifiers 1

IdentifierTypeStateIssuer
100656600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010001476 FL Practitioner - Rheumatology 1355656299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Central Florida Rheumatology Consultants LLCGroup PAC ID 7214276922, 9 clinicians

Practice addresses (Care Compare)

759 Harley Strickland Blvd
Orange City, FL 32763-7954

901 E Oak St
Suite Bandc
Kissimmee, FL 34744-5837
Phone (386) 561-9967

915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Rheumatology Consultants LLC Current Accepting new patients
Central Florida Rheumatology Consultants LLC Rheumatology CurrentSince Apr 1, 2021 Accepting new patients
Ozarks Medical Center Rheumatology Past Accepting new patients

Locations

901 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 943-8922

795 Primera Blvd
Ste 1001
Lake Mary, FL 32746
Phone (386) 561-9967

915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300

1639 N Volusia Ave
#B
Orange City, FL 32763
Phone (386) 775-2012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1154601144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "386-561-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD STE 1001",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "386-561-9967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Harley Strickland Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327637967",
            "country_code": "US",
            "telephone_number": "386-561-9967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLER",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME137059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100656600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.