Orange City Surgical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORANGE CITY SURGICAL LLC

Doing business as

AdventHealth Surgery Center Blue Springs

Practice address

1053 Medical Center Drive
Orange City, FL 32763

Phone

(352) 000-0000

NPI assigned

Apr 24, 2007

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khelsea Bauer

Title

Ceo/Secretary

Phone

(240) 367-2110

Specialties & licenses 1

Addresses

Other names 1

• AdventHealth Surgery Center Blue Springs Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Blue Springs Surgery CenterCCN 10C0001509

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• North Orlando Surgical Group, Inc

  • Surgery Physician
  • Orange City, FL
  • NPI 1801843263

  Member Of

  NPD member
• Southwest Volusia Healthcare Corporation

  dba Adventhealth Medical Group

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Member Of

  NPD member
• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Member Of

  NPD member

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1558580910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR STE 201",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638261",
            "telephone_number": "386-878-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DRIVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "352-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CITY SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "KHELSEA",
        "authorized_official_title_or_position": "CEO/SECRETARY",
        "authorized_official_telephone_number": "240-367-2110"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Surgery Center Blue Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Surgery Center Blue Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimal Research Sites, LLC
• Optimal Wellness Redefined, LLC
• Orange City Anesthesia Services LLC
• Orange City Community Pharmacy (Occp RX)
• Orange City Surgery Center LLC (Orange City Surgery Center)
• Jusline Oreus
• Kacey Renee Orive
• Orlando Physicians Network Inc
• Kevin Michael Orleanski, LPTA, CFT
• Ormond Medical Arts (Complete Health Orange City)

• Ambulatory Surgical Clinic/Center in Orange City, FL
• Providers in Orange City, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.