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MRS. LUCIOL D LIVETTE MD
NPI 1023409984
General Practice in Kissimmee, FL

Active since February 13, 2015PECOS Enrolled
109 N DOVERPLUM AVE, KISSIMMEE, FL 34758(407) 943-8600(833) 464-3641 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Aug 28, 2017 (2 updates tracked since 2017).

About Mrs. Luciol D Livette Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LUCIOL D LIVETTE MD (NPI 1023409984) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (ACN1565) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1023409984
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMRS. LUCIOL D LIVETTECredential: MD
Location Address109 N DOVERPLUM AVEKissimmee, FL 34758-3309
Mailing Address1877 Fortune RdKissimmee, FL 34744-4428 · (407) 943-8600
Phone(407) 943-8600
Fax(833) 464-3641
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 13, 2015
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1023409984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1565✔ Licensed in PR · 19121
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
109 N DOVERPLUM AVE, Kissimmee, FL 34758
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Secondary Practice Locations 2

Location 1Sergio Cuevas Bustamante Street #550San Juan, PR 00918 · Phone (787) 758-8383 ext. 8494 · Fax (787) 763-9758
Location 24303 Cameron Preserve CirKissimmee, FL 34746-6304 · Phone (407) 943-8600 · Fax (833) 464-3623

Other Identifiers 1

Medicaid121624600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Luciol D Livette Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345550539
PECOS Enrollment IDI20240509002532
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Luciol Livette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salud Integral En La Montana, Inc.
Federally Qualified Health Center (FQHC)
116 CALLE BARCELO
Barranquitas, PR 00794
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Also billed through NPI 1487677159 (Puerto Rico)
  • 112 clinicians in this Medicare group
NPI 1316970833 (787) 857-3440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID D FERRO DMD
Dentist (General Practice)
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
DR. CYNTHIA M BANUCHI-RIOS MD
General Practice
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
PRIMARY CARE MEDICAL SERVICES OF POINCIANA, INC.
Pharmacy (Clinic Pharmacy)
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
DR. THEODORE ROSS MD
Internal Medicine
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
YAMILKA MORALES POURANI
Nurse Practitioner (Family)
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
COURTNEY NICHOLE BURRELL MD
Pediatrics
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
JORGE LUIS QUINONES LMHC
Counselor (Mental Health)
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600
BE ANDRAH TASHANNY SIMMS FNP-BC
Nurse Practitioner (Family)
109 N DOVERPLUM AVE
KISSIMMEE, FL 34758
Osceola County (407) 943-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luciol Livette's NPI number?

The NPI number for Luciol Livette is 1023409984. It was assigned to this individual provider in the NPPES registry on February 13, 2015.

Where is Luciol Livette located?

Luciol Livette practices at 109 N Doverplum Ave, Kissimmee, FL 34758. The listed phone number is (407) 943-8600.

What is Luciol Livette's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Luciol Livette enrolled in Medicare?

Yes. Luciol Livette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luciol Livette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luciol Livette reassigns Medicare benefits to Salud Integral En La Montana, Inc. (Barranquitas, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luciol Livette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luciol Livette accept?

Health plans from AmeriHealth Caritas Next and Wellpoint list Luciol Livette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Luciol Livette was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.