SUMMER ABUKHODEIR
NPI 1104353168
Nurse Practitioner - Acute Care in Lake Wales, FL

Active since May 20, 2017PECOS EnrolledAccepts Medicare Assignment
858 REDWOOD WAY, LAKE WALES, FL 33898(863) 232-7604 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 28, 2020, Feb 26, 2020 and 1 more (4 updates tracked since 2017).

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

NPI1104353168
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSUMMER ABUKHODEIR
Location Address858 REDWOOD WAYLake Wales, FL 33898-9130
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-2812
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 20, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
NPI 1104353168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · ARNP9384750
858 REDWOOD WAY, Lake Wales, FL 33898

Secondary Practice Location 1

Location 14202 E Fowler Ave Stop Shs100Tampa, FL 33620-9130 · Phone (813) 974-2201 · Fax (813) 974-4325

Other Identifiers 3

OtherL6972FL · Medicare
Medicaid105431300FL
OtherJ2DQTFL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022380427
PECOS Enrollment IDI20170819000234
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.

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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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.