SUMMER ABUKHODEIR
NPI 1104353168
Nurse Practitioner - Acute Care in Lake Wales, FL
About Summer Abukhodeir NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMER ABUKHODEIR (NPI 1104353168) is an individual acute care provider in Lake Wales, Florida, licensed in Florida (ARNP9384750) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Summer Abukhodeir is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Summer Abukhodeir reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brandon, FL 33511
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
San Francisco, CA 94111
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
San Francisco, CA 94111
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Doctor On Demand Professionals Of New Jersey PC
- 11 clinicians in this Medicare group
San Francisco, CA 94111
- Reassigned Medicare billing, Colorado, Florida and Illinois enrollments
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33898 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Summer Abukhodeir's NPI number?
The NPI number for Summer Abukhodeir is 1104353168. It was assigned to this individual provider in the NPPES registry on May 20, 2017.
Where is Summer Abukhodeir located?
Summer Abukhodeir practices at 858 Redwood Way, Lake Wales, FL 33898. The listed phone number is (863) 232-7604.
What is Summer Abukhodeir's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Summer Abukhodeir enrolled in Medicare?
Yes. Summer Abukhodeir is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Summer Abukhodeir's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Summer Abukhodeir reassigns Medicare benefits to 4 organizations: Imad Al-Nakshabendi M D P A (Brandon, FL), Doctor On Demand Professionals Of California (San Francisco, CA), Doctor On Demand Professionals Of New Jersey, P.C. (San Francisco, CA) and Doctor On Demand Professionals P C (San Francisco, CA). Each 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 Summer Abukhodeir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Summer Abukhodeir was last updated on July 21, 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.
# Summer Abukhodeir · NPI 1104353168
Acute Care physician in Lake Wales, Florida. Individual provider, active in the CMS NPPES registry since May 20, 2017.
## Identity
- **NPI:** 1104353168 (Entity type: Individual)
- **Enumerated:** May 20, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** ARNP9384750 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 858 REDWOOD WAY, Lake Wales, FL 33898-9130
- **Phone:** (863) 232-7604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Imad Al-Nakshabendi M D P A (NPI 1093995821, Brandon, FL); Doctor On Demand Professionals Of California (NPI 1346658614, San Francisco, CA); Doctor On Demand Professionals Of New Jersey, P.C. (NPI 1689082950, San Francisco, CA); Doctor On Demand Professionals P C (NPI 1174931448, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other L6972 (FL); Medicaid 105431300 (FL); Other J2DQT (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1104353168) · Data from the CMS NPPES public registry.