LAKE WALES EMERGENCY PHYSICIANS, LLC
NPI 1033480405
Emergency Medicine in Lake Wales, FL
About Lake Wales Emergency Physicians, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE WALES EMERGENCY PHYSICIANS, LLC (NPI 1033480405) is a healthcare organization registered as an emergency medicine in Lake Wales, Florida and active in the NPI registry since January 2012. The organization lists Lisha C Falk, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Wales Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
99Medicare enrollment records show 99 clinicians reassign Medicare billing to Lake Wales Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 99Lake Wales, FL 33853
Winter Haven, FL 33881
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lake Wales Emergency Physicians, LLC's NPI number?
The NPI number for Lake Wales Emergency Physicians, LLC is 1033480405. It was assigned to this organization in the NPPES registry on January 18, 2012.
Where is Lake Wales Emergency Physicians, LLC located?
Lake Wales Emergency Physicians, LLC is located at 410 S 11th St, Lake Wales, FL 33853. The listed phone number is (877) 693-5700.
What is Lake Wales Emergency Physicians, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lake Wales Emergency Physicians, LLC enrolled in Medicare?
Yes. Lake Wales Emergency Physicians, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Wales Emergency Physicians, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 99 clinicians in 7 Medicare specialties reassign their Medicare billing to Lake Wales Emergency Physicians, LLC. A 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 the clinician's services. The largest specialties are Emergency Medicine (57), Nurse Practitioner (26) and Family Practice (8). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Wales Emergency Physicians, LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lake Wales Emergency Physicians, Llc · NPI 1033480405
Emergency Medicine organization in Lake Wales, Florida. Organization record, active in the CMS NPPES registry since January 18, 2012.
## Identity
- **NPI:** 1033480405 (Entity type: Organization)
- **Enumerated:** January 18, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, PRESIDENT
## Practice location
- **Address:** 410 S 11TH ST, Lake Wales, FL 33853-4203
- **Phone:** (877) 693-5700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 99 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (57), Nurse Practitioner (26), Family Practice (8); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1033480405/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid 004700800 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1033480405) · Data from the CMS NPPES public registry.