BONITA SPRINGS SURGERY CENTER
NPI 1285202077
Clinic/Center - Ambulatory Surgical in Bonita Springs, FL

Q: What is Surgcenter Of Pine Ridge LLC's NPI number?

The NPI number for Surgcenter Of Pine Ridge LLC is 1285202077. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Bonita Springs Surgery Center.

Q: What is Surgcenter Of Pine Ridge LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 16, 2021CLIA 10D2228152 · Waiver

12871 TRADE WAY DR, STE 12, BONITA SPRINGS, FL 34135(239) 478-0051 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Aug 20, 2021, Jun 16, 2021 (3 updates tracked since 2021).

On this page

About Bonita Springs Surgery Center NPPES

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

BONITA SPRINGS SURGERY CENTER (NPI 1285202077) is a healthcare organization registered as an ambulatory surgical in Bonita Springs, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Collin Lemaistre, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1285202077

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGCENTER OF PINE RIDGE LLC

Location Address12871 TRADE WAY DR, STE 12Bonita Springs, FL 34135-7334

Mailing Address12871 Trade Way Dr, Ste 12Bonita Springs, FL 34135-7334 · (239) 478-0051

Phone(239) 478-0051

Organization SubpartNo

Authorized OfficialCollin LemaistreOfficer/authorized Official · (214) 213-0732

Enumeration DateJune 16, 2021

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1285202077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

12871 TRADE WAY DR, Bonita Springs, FL 34135

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Other Names 1

Doing Business AsBonita Springs Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 10D2228152

Surgcenter Of Pine Ridge LLC · Bonita Springs, FL

Active · expires Jun 22, 2027

CLIA Number10D2228152

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 23, 2025

Certificate Expiration DateJune 22, 2027

Laboratory DirectorEric M. Johnson

Laboratory Phone(239) 478-0051

Laboratory LocationSurgcenter Of Pine Ridge LLC12871 Trade Way Dr - Ste 12, Bonita Springs, FL 34135

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

52 services52 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

44 services26 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

41 services36 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

23 services12 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

22 services21 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

20 services19 patients

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 Surgcenter Of Pine Ridge LLC's NPI number?

The NPI number for Surgcenter Of Pine Ridge LLC is 1285202077. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Bonita Springs Surgery Center.

Where is Surgcenter Of Pine Ridge LLC located?

Surgcenter Of Pine Ridge LLC is located at 12871 Trade Way Dr Ste 12, Bonita Springs, FL 34135. The listed phone number is (239) 478-0051.

What is Surgcenter Of Pine Ridge LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgcenter Of Pine Ridge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2228152) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgcenter Of Pine Ridge LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Surgcenter Of Pine Ridge 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 Surgcenter Of Pine Ridge LLC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.