Individual provider Active NPI

Nicole Elizabeth Lewandrowski, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brandon, FL
National Provider Identifier
1942839832
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
1022987 Issued in MA
Practice address
500 Vonderburg Dr Ste 302E
Brandon, FL 33511-5976
Phone
(813) 321-1786
Fax
(813) 321-1787
NPI assigned
Apr 3, 2020
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 1022987 MA Primary

Addresses

Primary practice location

500 Vonderburg Dr Ste 302E
Brandon, FL 33511-5976

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250807001118 MA Practitioner - Pathology 6901225689 Reassigns benefits to 1 organization
I20260226001021 FL Practitioner - Pathology 6901225689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

500 Vonderburg Dr
Suite 302E
Brandon, FL 33511-5976
Phone (813) 321-1786

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022987MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions CurrentSince Feb 18, 2026 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 25, 2025 Accepting new patients
Douglas K Pierce MD PA Past Accepting new patients

Locations

500 Vonderburg Dr
Ste 302E
Brandon, FL 33511
Phone (813) 681-3434

18228 N US Highway 41
Lutz, FL 33549

4651 Van Dyke Rd
Lutz, FL 33558
Phone (813) 321-1783

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

1 Innovation Dr
Worcester, MA 01605
Phone (508) 793-6100

1 Innovation Dr
Ste 3
Worcester, MA 01605
Phone (508) 793-6100

281 Lincoln St
Worcester, MA 01605
Phone (508) 334-8015

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1942839832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 302E",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115976",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDROWSKI",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "1022987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.