Active NPI
Justin Lentz
- Physician Assistant
- Titusville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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 |
|---|---|---|---|---|
| Physician Assistant | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/Sunbelt, Inc. | Multi-Specialty | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Multi-Specialty | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Multi-Specialty | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Multi-Specialty | Current | 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
- 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.
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1326033341
FL
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Multi-Specialty
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1194122200
Multi-Specialty
-
- Urgent Care Clinic/Center
- Titusville, FL
- NPI 1750913091
Multi-Specialty
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.