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MS. LEISA JAMINE HOSPEDALES AGPCNP-BC
NPI 1245957091
Nurse Practitioner - Adult Health in Lakeland, FL

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
135 E 1ST ST, LAKELAND, FL 33805(863) 686-2728(863) 686-6737 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Oct 24, 2022 (2 updates tracked since 2022).

About Ms. Leisa Jamine Hospedales Agpcnp-bc NPPES

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

MS. LEISA JAMINE HOSPEDALES AGPCNP-BC (NPI 1245957091) is an individual adult health provider in Lakeland, Florida, licensed in Florida (APRN11021939) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245957091
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LEISA JAMINE HOSPEDALESCredential: AGPCNP-BC
Location Address135 E 1ST STLakeland, FL 33805-4609
Mailing Address15118 Evans Ranch RdLakeland, FL 33809-9714 · (863) 510-8225
Phone(863) 686-2728
Fax(863) 686-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 24, 2022
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1245957091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11021939
135 E 1ST ST, Lakeland, FL 33805
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Leisa Jamine Small

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

Ms. Leisa Jamine Hospedales Agpcnp-bc 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 ID4981068889
PECOS Enrollment IDI20241231000777
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 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 11

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

DR. ZAW MYINT MD
Family Medicine
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 686-2728
PALM MEDICAL CENTER LAKELAND LLC
Clinic/Center
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 686-2728
PALM MEDICAL CENTER LAKELAND LLC
General Practice
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 686-2728
JAY CARE MEDICAL CENTER, INC.
Clinic/Center (Primary Care)
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 686-2728
JAPINDER SINGH MD
Internal Medicine
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 682-0843
OKOROAFOR NDUKA MADUAGWU M.D.
General Practice
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 686-2728
DR. AMIT KAKDE M.D.
Internal Medicine
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 686-2728
MS. RAYSA MENA-PEREZ M.D.
Internal Medicine
135 E 1ST ST
LAKELAND, FL 33805
Polk County (863) 682-0843

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 Leisa Hospedales's NPI number?

The NPI number for Leisa Hospedales is 1245957091. It was assigned to this individual provider in the NPPES registry on October 24, 2022. The provider is also known as Ms. Leisa Jamine Small.

Where is Leisa Hospedales located?

Leisa Hospedales practices at 135 E 1st St, Lakeland, FL 33805. The listed phone number is (863) 686-2728.

What is Leisa Hospedales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Leisa Hospedales enrolled in Medicare?

Yes. Leisa Hospedales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leisa Hospedales was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.