Individual provider Active NPI

Peaches E Levy-Maxwell, APRN

  • Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1649039736
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11031544 Issued in FL
Practice address
4729 US Highway 98 S
Lakeland, FL 33812-4323
Phone
(863) 284-6809
Fax
(863) 284-6810
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 11031544 FL
Nurse Practitioner 363L00000X APRN11031544 FL Primary

Addresses

Primary practice location

4729 US Highway 98 S
Lakeland, FL 33812-4323

Mailing address

1324 Lakeland Hills Blvd
Attn: Managed Care
Lakeland, FL 33805-4543
Phone (863) 687-1100

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
I20241119003851 FL Practitioner - Nurse Practitioner 0941735542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11031544FLMDGeneral Practice Registered Nurse
APRN11031544FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Jul 2, 2025 Accepting new patients
Neurology& Neurosurgery Associates Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients

Locations

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 687-1222

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

4729 US Highway 98 S
Ste 104
Lakeland, FL 33812
Phone (863) 284-1500

180 Avenue A SE
Winter Haven, FL 33880
Phone (863) 293-2107

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: peaches.levymaxwell.p1@direct.neurohaven.nextgenshare.com
  • Direct secure messaging: plevymaxwell56437@lrhs.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1649039736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "address_2": "ATTN: MANAGED CARE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 US HIGHWAY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124323",
            "telephone_number": "863-284-6809",
            "fax_number": "863-284-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY-MAXWELL",
        "first_name": "PEACHES",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "11031544",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.