LAKE WALES PHYSICIAN SERVICES, LLC
NPI 1164902797
Hospitalist in Lake Wales, FL
About Lake Wales Physician Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE WALES PHYSICIAN SERVICES, LLC (NPI 1164902797) is a healthcare organization registered as a hospitalist in Lake Wales, Florida and active in the NPI registry since August 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 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)
Lake Wales Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
95Medicare enrollment records show 95 clinicians reassign Medicare billing to Lake Wales Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 95Lake Wales, FL 33853
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 Wales Physician Services, LLC's NPI number?
The NPI number for Lake Wales Physician Services, LLC is 1164902797. It was assigned to this organization in the NPPES registry on August 14, 2018.
Where is Lake Wales Physician Services, LLC located?
Lake Wales Physician Services, LLC is located at 410 S 11th St, Lake Wales, FL 33853. The listed phone number is (863) 676-1433.
What is Lake Wales Physician Services, LLC's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Lake Wales Physician Services, LLC enrolled in Medicare?
Yes. Lake Wales Physician Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Wales Physician Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 9 Medicare specialties reassign their Medicare billing to Lake Wales Physician Services, LLC. 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 Internal Medicine (52), Nurse Practitioner (14) and Hospitalist (12). Of these, 2 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Wales Physician Services, LLC accept?
Health plans from Ambetter Health and Ambetter of Alabama list Lake Wales Physician Services, LLC 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 Lake Wales Physician Services, LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Wales Physician Services, Llc · NPI 1164902797
Hospitalist organization in Lake Wales, Florida. Organization record, active in the CMS NPPES registry since August 14, 2018.
## Identity
- **NPI:** 1164902797 (Entity type: Organization)
- **Enumerated:** August 14, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VP OF CONTRACTING
## Practice location
- **Address:** 410 S 11TH ST, Lake Wales, FL 33853-4203
- **Phone:** (863) 676-1433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 95 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (52), Nurse Practitioner (14), Hospitalist (12); 2 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1164902797/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid 101044600 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1164902797) · Data from the CMS NPPES public registry.