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ANDREW JESUS LAZO
NPI 1104719137
Nurse Practitioner - Psychiatric/Mental Health in Orlando, FL

Active since May 29, 2025PECOS Enrolled
1400 N SEMORAN BLVD BLDG SUITEE, ORLANDO, FL 32807(407) 823-8421(407) 823-8195 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Jun 4, 2025, May 29, 2025 (3 updates tracked since 2025).

About Andrew Jesus Lazo NPPES

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

ANDREW JESUS LAZO (NPI 1104719137) is an individual psychiatric/mental health provider in Orlando, Florida, licensed in Florida (11039812) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2025).

NPPES Registry Identity

NPI1104719137
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANDREW JESUS LAZO
Location Address1400 N SEMORAN BLVD BLDG SUITEEOrlando, FL 32807-3536
Mailing Address1400 N Semoran Blvd Bldg SuiteeOrlando, FL 32807-3536 · (407) 823-8421 · Fax (407) 823-8195
Phone(407) 823-8421
Fax(407) 823-8195
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2025
Enumeration DateMay 29, 2025
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1104719137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11039812
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11039812 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11039812 (FL), 11039812 (FL)
1400 N SEMORAN BLVD BLDG SUITEE, Orlando, FL 32807
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Jesus Lazo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779090725
PECOS Enrollment IDI20250725001548
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 32807 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 Andrew Lazo's NPI number?

The NPI number for Andrew Lazo is 1104719137. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Andrew Lazo located?

Andrew Lazo practices at 1400 N Semoran Blvd Bldg Suitee, Orlando, FL 32807. The listed phone number is (407) 823-8421.

What is Andrew Lazo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrew Lazo enrolled in Medicare?

Yes. Andrew Lazo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Lazo was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.