Active NPI
Lindsey Repass Wolf, PA
- Medical Physician Assistant
- Winter Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102892
- Practice address
- 1340 Tuskawilla Rd Ste 101-5
Winter Springs, FL 32708-5030 - Phone
- (407) 699-1160
- Fax
- (407) 699-7861
- NPI assigned
- Jul 21, 2005
- Last updated
- Oct 24, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102892 | FL | Primary |
Addresses
Primary practice location
1340 Tuskawilla Rd Ste 101-5
Winter Springs, FL 32708-5030
Mailing address
1340 Tuskawilla Rd Ste 101-5
Winter Springs, FL 32708-5030
Phone (407) 699-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9102892 | Other | FL | FL LICENSE |
Other names 1
- Lindsey Anne Repass
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
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
4270 Aloma Ave
Suite 196
Winter Park, FL 32792-9393
Phone (407) 599-6190
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9102892 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1340 Tuskawilla Rd
Ste 1015
Winter Springs, FL 32708
Phone (407) 699-1160
Interoperability endpoints
- lrepasswolf73662@adventhealth.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Altamonte Springs, FL
- NPI 1518419977
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1306845276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 TUSKAWILLA RD STE 101-5",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085030",
"telephone_number": "407-699-1160",
"fax_number": "407-699-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 TUSKAWILLA RD STE 101-5",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327085030",
"telephone_number": "407-699-1160",
"fax_number": "407-699-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPASS WOLF",
"first_name": "LINDSEY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "PA9102892",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "REPASS",
"middle_name": "ANNE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Winter Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.