Individual provider Active NPI

Maggy Lespinasse, MD

  • Pediatrics Physician
  • Port St Lucie, FL
National Provider Identifier
1699768291
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME164169 Issued in FL
Practice address
9576 S US Highway 1
Port St Lucie, FL 34952-4217
Phone
(772) 337-4000
Fax
(844) 543-0396
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD08253 RI
Pediatrics Physician 208000000X MD20826 ME
Pediatrics Physician 208000000X ME164169 FL Primary

Addresses

Primary practice location

9576 S US Highway 1
Port St Lucie, FL 34952-4217

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL, TX, IN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151222001181 ME Practitioner - Pediatric Medicine 1658425384 Reassigns benefits to 2 organizations
I20240117004102 FL Practitioner - Pediatric Medicine 1658425384 Reassigns benefits to 1 organization
I20240501002738 TX Practitioner - Pediatric Medicine 1658425384 Reassigns benefits to 3 organizations
I20250815000231 IN Practitioner - Pediatric Medicine 1658425384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
New York Medical College, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1951 Bishop LN
FL 4
Louisville, KY 40218-1923

PO Box
Suite 776879
Chicago, IL 60677-6879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME164169FLMDPediatrics Physician
MD08253RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Nov 8, 2021 Accepting new patients
Houlton Regional Hospital CurrentSince Nov 8, 2021 Accepting new patients
Watonga Indian Health Center CurrentSince Mar 29, 2024 Accepting new patients
Clinton Indian Health Center CurrentSince Mar 29, 2024 Accepting new patients
El Reno Indian Health Center CurrentSince Mar 29, 2024 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Jun 13, 2025 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Jun 13, 2025 Accepting new patients
York Hospital Pediatrics CurrentSince Feb 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 6, 2024 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Feb 6, 2024 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#2
Madison, IN 47250
Phone (812) 801-0300

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

112 Sanford Rd
Wells, ME 04090
Phone (207) 641-8100

16 Hospital Dr
Ste D
York, ME 03909
Phone (207) 351-1710

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1699768291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072000",
            "telephone_number": "561-844-9443",
            "fax_number": "561-472-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524217",
            "telephone_number": "772-337-4000",
            "fax_number": "844-543-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESPINASSE",
        "first_name": "MAGGY",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD08253",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD20826",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME164169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.