Individual provider Active NPI

Fadette Lumorin, FNP-BC

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1710672654
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025553 Issued in FL
Practice address
7506 Florida Circle West
Lakeland, FL 33810-4801
Phone
(863) 279-2473
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 11025553 FL Primary

Addresses

Primary practice location

7506 Florida Circle West
Lakeland, FL 33810-4801

Mailing address

2400 Maitland Center Pkwy Ste 310
Maitland, FL 32751-7442
Phone (352) 329-1800

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
I20231114001518 FL Practitioner - Nurse Practitioner 0143677070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Medical IncGroup PAC ID 7810174711, 10 clinicians

Practice addresses (Care Compare)

1129 Lakeland Hills Blvd
Lakeland, FL 33805-4655
Phone (863) 594-2433

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025553FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Medical Inc CurrentSince Jan 7, 2024 Accepting new patients
Florida Wound & Healing PA CurrentSince Aug 18, 2025 Accepting new patients

Locations

1129 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 594-2433

2400 Maitland Center Pkwy
Ste 310
Maitland, FL 32751
Phone (352) 329-1800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1710672654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAITLAND CENTER PKWY STE 310",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517442",
            "telephone_number": "352-329-1800",
            "fax_number": "352-329-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 FLORIDA CIRCLE WEST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338104801",
            "telephone_number": "863-279-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMORIN",
        "first_name": "FADETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.