Individual provider Active NPI

Justin Lentz

  • Physician Assistant
  • Titusville, FL
National Provider Identifier
1336849652
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2335 S Washington Ave
Titusville, FL 32780-4737
Phone
(321) 593-0458
NPI assigned
Mar 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

2335 S Washington Ave
Titusville, FL 32780-4737

Mailing address

2424 Metfield Dr Apt 2404
Melbourne, FL 32940-5309
Phone (540) 847-9592

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
I20230518002149 FL Practitioner - Physician Assistant 6406212372 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Centers of Brevard County LLC 25 clinicians

Practice addresses (Care Compare)

105 S Banana River Blvd
Cocoa Beach, FL 32931-5041
Phone (407) 200-2300

1223 Gateway Dr
Suite 1E
Melbourne, FL 32901-2607
Phone (407) 200-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc. Multi-Specialty CurrentSince Jan 14, 2026 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Multi-Specialty CurrentSince Jan 14, 2026 Accepting new patients
Urgent Care Centers of Brevard County LLC Multi-Specialty CurrentSince Apr 24, 2023 Accepting new patients
Urgent Care Centers of Brevard County LLC Multi-Specialty CurrentSince Apr 24, 2023 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2335 S Washington Ave
Titusville, FL 32780
Phone (321) 593-0458

Interoperability endpoints

  • Direct secure messaging: jlentz1513094@adventhealth.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1336849652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 METFIELD DR APT 2404",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329405309",
            "telephone_number": "540-847-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804737",
            "telephone_number": "321-593-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.