Individual provider Active NPI

Ivan Lemas, ARNP

  • Family Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1538794490
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006525 Issued in FL
Practice address
17353 63Rd Rd N
Loxahatchee, FL 33470-3220
Phone
(786) 402-2181
NPI assigned
Mar 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 11006525 FL Primary

Addresses

Primary practice location

17353 63Rd Rd N
Loxahatchee, FL 33470-3220

Mailing address

17353 63Rd Rd N
Loxahatchee, FL 33470-3220
Phone (786) 402-2181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324001532 FL Practitioner - Nurse Practitioner 3173997590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11006525FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Comprehensive Critical Care, LLC CurrentSince Dec 14, 2022 Accepting new patients

Locations

4145 Sun N Lake Blvd
Ste A
Sebring, FL 33872
Phone (201) 640-0696

3345 Medical Hill Rd
Sebring, FL 33870
Phone (863) 385-1700

Organizations & group practices 1

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1538794490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17353 63RD RD N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703220",
            "telephone_number": "786-402-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17353 63RD RD N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703220",
            "telephone_number": "786-402-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAS",
        "first_name": "IVAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.