PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
NPI 1164524039
Family Medicine in Tallahassee, FL
About Patients First Lake Ella Medical Center P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A (NPI 1164524039), doing business as Patients First Lake Ella, is a healthcare organization registered as a family medicine in Tallahassee, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Andrea Malik Roe, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patients First Lake Ella Medical Center P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Patients First Lake Ella Medical Center P A, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 52Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0978222
Patients First Lake Ella Medical Center, PA · Tallahassee, FLFrequently 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 Patients First Lake Ella Medical Center P A's NPI number?
The NPI number for Patients First Lake Ella Medical Center P A is 1164524039. It was assigned to this organization in the NPPES registry on September 2, 2006. The provider is doing business as Patients First Lake Ella.
Where is Patients First Lake Ella Medical Center P A located?
Patients First Lake Ella Medical Center P A is located at 1690 N Monroe St, Tallahassee, FL 32303. The listed phone number is (850) 385-2222.
What is Patients First Lake Ella Medical Center P A's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Patients First Lake Ella Medical Center P A enrolled in Medicare?
Yes. Patients First Lake Ella Medical Center P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Patients First Lake Ella Medical Center P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 4 Medicare specialties reassign their Medicare billing to Patients First Lake Ella Medical Center P A. 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. The largest specialties are Nurse Practitioner (32), Family Practice (18) and Hospitalist (1). Of these, 4 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Patients First Lake Ella Medical Center P A hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0978222) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Patients First Lake Ella Medical Center P A accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Oscar Health Maintenance Organization of Florida list Patients First Lake Ella Medical Center P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Patients First Lake Ella Medical Center P A was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Patients First Lake Ella Medical Center P A · NPI 1164524039
Family Medicine organization in Tallahassee, Florida. Organization record, active in the CMS NPPES registry since September 2, 2006.
## Identity
- **NPI:** 1164524039 (Entity type: Organization)
- **Enumerated:** September 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Patients First Lake Ella (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andrea Malik Roe, PRESIDENT
## Practice location
- **Address:** 1690 N MONROE ST, Tallahassee, FL 32303-5533
- **Phone:** (850) 385-2222 · **Fax:** (850) 385-1844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (18), Hospitalist (1); 4 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1164524039/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164524039) · Data from the CMS NPPES public registry.