Individual provider Active NPI

Kyleigh Lacsamana, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1962326926
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121932 Issued in FL
Practice address
4624 N Davis Hwy
Pensacola, FL 32503-2337
Phone
(850) 494-0000
Fax
(850) 494-0001
NPI assigned
Aug 4, 2026
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121932 FL Primary

Addresses

Primary practice location

4624 N Davis Hwy
Pensacola, FL 32503-2337

Mailing address

6366 Cottage Woods Dr
Milton, FL 32570-4182
Phone (850) 490-1451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9121932FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Consultants of West Florida P a CurrentSince Aug 15, 2026 Accepting new patients
Pain Consultants of West Florida CurrentSince Aug 15, 2026 Accepting new patients

Locations

4624 N Davis Hwy
Pensacola, FL 32503
Phone 85049400002014

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": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1962326926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6366 COTTAGE WOODS DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704182",
            "telephone_number": "850-490-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032337",
            "telephone_number": "850-494-0000",
            "fax_number": "850-494-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSAMANA",
        "first_name": "KYLEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.