LAKE MARY INFUSION CENTER
NPI 1104609866
Internal Medicine in Lake Mary, FL
About Lake Mary Infusion Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE MARY INFUSION CENTER (NPI 1104609866) is a healthcare organization registered as an internal medicine in Lake Mary, Florida and active in the NPI registry since August 2023. The organization lists Helen Bukritstky, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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 Mary Infusion Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Mary Infusion Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mary Infusion Center's NPI number?
The NPI number for Lake Mary Infusion Center is 1104609866. It was assigned to this organization in the NPPES registry on August 16, 2023.
Where is Lake Mary Infusion Center located?
Lake Mary Infusion Center is located at 105 Commerce St Ste 109, Lake Mary, FL 32746. The listed phone number is (267) 939-1819.
What is Lake Mary Infusion Center's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lake Mary Infusion Center enrolled in Medicare?
Yes. Lake Mary Infusion Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Mary Infusion Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lake Mary Infusion Center. 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. 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 Mary Infusion Center was last updated on August 14, 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.
# Lake Mary Infusion Center · NPI 1104609866
Internal Medicine organization in Lake Mary, Florida. Organization record, active in the CMS NPPES registry since August 16, 2023.
## Identity
- **NPI:** 1104609866 (Entity type: Organization)
- **Enumerated:** August 16, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Helen Bukritstky, PRESIDENT
## Practice location
- **Address:** 105 COMMERCE ST STE 109, Lake Mary, FL 32746-6228
- **Phone:** (267) 939-1819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104609866) · Data from the CMS NPPES public registry.