MS. LEISA JAMINE HOSPEDALES AGPCNP-BC
NPI 1245957091
Nurse Practitioner - Adult Health in Lakeland, FL
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
Specialties & Licenses
Other Names 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Leisa Hospedales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princess Anne, MD 21853
- Reassigned Medicare billing, New York enrollment
- 325 clinicians in this Medicare group
Englewood, NJ 07631
- Reassigned Medicare billing, New York enrollment
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Leisa Hospedales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leisa Hospedales reassigns Medicare benefits to 2 organizations: Medical Director Services PC (Princess Anne, MD) and Jds Medical Services PC (Englewood, NJ). Each 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 Leisa Hospedales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Ms. Leisa Jamine Hospedales, AGPCNP-BC · NPI 1245957091
Adult Health physician in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1245957091 (Entity type: Individual)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN11021939 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 E 1ST ST, Lakeland, FL 33805-4609
- **Phone:** (863) 686-2728 · **Fax:** (863) 686-6737
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical Director Services PC (NPI 1871955807, Princess Anne, MD); Jds Medical Services PC (NPI 1174224653, Englewood, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245957091) · Data from the CMS NPPES public registry.