MIDELINE GENE
NPI 1164397105
Nurse Practitioner in Lakeland, FL

Q: What is Mideline Gene's NPI number?

The NPI number for Mideline Gene is 1164397105. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Q: What is Mideline Gene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mideline Gene was last updated on March 31, 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.

Active since October 08, 2025PECOS EnrolledAccepts Medicare Assignment

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Oct 8, 2025 (2 updates tracked since 2025).

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About Mideline Gene NPPES

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

MIDELINE GENE (NPI 1164397105) is an individual nurse practitioner in Lakeland, Florida, licensed in Florida (APRN11041594) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164397105

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIDELINE GENE

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address1307 Harbour Blue StRuskin, FL 33570-8072

Phone(863) 687-1100

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 8, 2025

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1164397105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11041594

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11041594 (FL)

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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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

Mideline Gene 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 ID8921584475

PECOS Enrollment IDI20260114002903

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.

Medicare Billing Reassignment

Medicare enrollment records show Mideline Gene reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeland Regional Health Systems, Inc.

0.2 mi

Multi-Specialty

1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805

Reassigned Medicare billing, Florida enrollment
740 clinicians in this Medicare group

NPI 1497748743 (863) 687-7251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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.

Other Providers at the Same Location NPPES 20

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

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)