Active NPI
Norman Lacsamana, APRN
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP11001382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- HCA Florida West Hospital
- Baptist Hospital
- Gulf Breeze Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP11001382 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Current | 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.
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1396759684
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.