MIDELINE GENE
NPI 1164397105
Nurse Practitioner in Lakeland, FL

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: July 19, 2026.

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

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
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

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

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.

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.

Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Anesthesiology
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL MEDICAL CENTER
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD, LAKELAND REGIONAL MEDICAL CENTER
LAKELAND, FL 33805
Pharmacist (Pharmacotherapy)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Registered Nurse (Neonatal Intensive Care)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Psychiatry & Neurology (Neurology)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164397105, enumerated as an "individual" on October 08, 2025.

The provider is located at 1324 LAKELAND HILLS BLVD LAKELAND, FL 33805 and the phone number is (863) 687-1100.

Nurse Practitioner with taxonomy code 363L00000X.

Mideline Gene is affiliated with: LAKELAND REGIONAL MEDICAL CENTER.