SURGCENTER OF ST. LUCIE, LLC
NPI 1053764779
Clinic/Center - Ambulatory Surgical in Port St Lucie, FL

Q: What is Surgcenter Of St. Lucie, LLC's NPI number?

The NPI number for Surgcenter Of St. Lucie, LLC is 1053764779. It was assigned to this organization in the NPPES registry on July 18, 2016.

Q: What is Surgcenter Of St. Lucie, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 18, 2016CLIA 10D2117203 · Waiver

10521 SW VILLAGE CENTER DR, SUITE 104, PORT ST LUCIE, FL 34987(772) 345-8600 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Oct 4, 2024, Sep 10, 2024 and 3 more (6 updates tracked since 2016).

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About Surgcenter Of St. Lucie, Llc NPPES

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

SURGCENTER OF ST. LUCIE, LLC (NPI 1053764779) is a healthcare organization registered as an ambulatory surgical in Port St Lucie, Florida and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists Collin Lemastrie, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1053764779

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGCENTER OF ST. LUCIE, LLC

Location Address10521 SW VILLAGE CENTER DR, SUITE 104Port St Lucie, FL 34987-1930

Mailing Address10521 Sw Village Center Dr, Suite 104Port St Lucie, FL 34987-1930 · (772) 345-8600

Phone(772) 345-8600

Organization SubpartNo

Authorized OfficialCollin LemastrieOfficer/authorized Official · (469) 250-3640

Enumeration DateJuly 18, 2016

Last NPPES UpdateJanuary 26, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1053764779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

10521 SW VILLAGE CENTER DR, Port St Lucie, FL 34987

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2117203

Surgcenter Of St Lucie LLC · Port Saint Lucie, FL

Active · expires Aug 9, 2026

CLIA Number10D2117203

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 10, 2024

Certificate Expiration DateAugust 9, 2026

Laboratory DirectorAnuj Prasher

Laboratory Phone(919) 812-7657

Laboratory LocationSurgcenter Of St Lucie LLC10521 SW Village Center Dr Ste 104, Port Saint Lucie, FL 34987

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

426 services196 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

66 services31 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

57 services43 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

52 services28 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

46 services42 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

39 services35 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

32 services17 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

29 services29 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

25 services23 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

22 services19 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

18 services18 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

18 services18 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

18 services18 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device 25609

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

13 services13 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

13 services13 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

12 services12 patients

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Other Providers at the Same Location NPPES 2

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

BEE WELL PEDIATRICS

Pediatrics

10521 SW VILLAGE CENTER DR, 101-A
PORT ST LUCIE, FL 34987

St. Lucie County (772) 873-7114

VALANT ANESTHESIA SERVICES LLC

Anesthesiology

10521 SW VILLAGE CENTER DR, SUITE 104
PORT ST LUCIE, FL 34987

St. Lucie County (772) 345-8602

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 Surgcenter Of St. Lucie, LLC's NPI number?

The NPI number for Surgcenter Of St. Lucie, LLC is 1053764779. It was assigned to this organization in the NPPES registry on July 18, 2016.

Where is Surgcenter Of St. Lucie, LLC located?

Surgcenter Of St. Lucie, LLC is located at 10521 SW Village Center Dr Suite 104, Port St Lucie, FL 34987. The listed phone number is (772) 345-8600.

What is Surgcenter Of St. Lucie, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgcenter Of St. Lucie, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2117203) is associated with this NPI, valid through August 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgcenter Of St. Lucie, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Surgcenter Of St. Lucie, LLC 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 Surgcenter Of St. Lucie, LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

About Surgcenter Of St. Lucie, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 10D2117203

Areas of Expertise CMS Part B claims 16

Other Providers at the Same Location NPPES 2

Frequently Asked Questions NPPES & CMS

What is Surgcenter Of St. Lucie, LLC's NPI number?

Where is Surgcenter Of St. Lucie, LLC located?

What is Surgcenter Of St. Lucie, LLC's specialty?

Does Surgcenter Of St. Lucie, LLC hold a CLIA laboratory certificate?

What insurance does Surgcenter Of St. Lucie, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 10D2117203