Individual provider Active NPI

Norman Lacsamana, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1154883114
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP11001382 Issued in FL
Practice address
2700 University Square Dr
Tampa, FL 33612-5513
Phone
(813) 253-2721
Fax
(813) 253-2299
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP11001382 FL Primary

Addresses

Primary practice location

2700 University Square Dr
Tampa, FL 33612-5513

Mailing address

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone (424) 290-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423000436 FL Practitioner - Nurse Practitioner 7810239803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Radiology Associates of Pensacola PAGroup PAC ID 0749240836, 20 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2716 Deluna Way
Milton, FL 32583-5606
Phone (904) 399-5550

4790 Belvedere Cir
Pace, FL 32571-1172
Phone (850) 380-1670

5151 N 9TH Ave
Sacred Heart Hospital
Pensacola, FL 32504-8721
Phone (904) 399-5550

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP11001382FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

7334 Navarre Pkwy
Navarre, FL 32566
Phone (850) 416-2337

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Organizations & group practices 2

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 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1154883114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "424-290-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-253-2721",
            "fax_number": "813-253-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSAMANA",
        "first_name": "NORMAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP11001382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.