Lori Michelle Delisle, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101174 Issued in FL

Practice address

West Florida Pain Management
603 7TH St S. Suite 320
Saint Petersburg, FL 33701

Phone

(727) 553-7313

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• West Florida Pain Management PA

  • Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1285665851
  Medicare reassignment
• Florida Musculoskeletal Surgical Group LLC

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1073850160
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1740327600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WEST FLORIDA PAIN MANAGEMENT",
            "address_2": "603 7TH ST S. SUITE 320",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-553-7313",
            "fax_number": "727-584-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST FLORIDA PAIN MANAGEMENT",
            "address_2": "603 7TH ST S. SUITE 320",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-553-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "LORI",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Delano, MS, RD, LDN
• Jan F Delassen
• Christy Lassiter Delcamp, PA-C
• Ailyn Delgado Perez
• Patricia M Delgado, DNP, APRN, AGPCNP-BC
• Nicole Delisle
• Jessica Dellaragione, RPH
• Cathy Garrett Dellinger, PT
• David Ralph Delmas, RPH
• Mary Ellen Deloache, M.ED.

• Medical Physician Assistant in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.