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MIRTA LUGO APRN
NPI 1336860493
Nurse Practitioner - Community Health in Dover, FL

Active since September 07, 2022PECOS EnrolledAccepts Medicare Assignment
14254 DR MARTIN LUTHER KING JR BLVD, DOVER, FL 33527(813) 653-6100 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2025, Sep 26, 2022, Sep 7, 2022 (3 updates tracked since 2022).

About Mirta Lugo Aprn NPPES

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

MIRTA LUGO APRN (NPI 1336860493) is an individual community health provider in Dover, Florida, licensed in Florida (APRN11021969) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336860493
Entity TypeIndividualFemale
Primary Taxonomy363LC1500X
Provider Legal NameMIRTA LUGOCredential: APRN
Location Address14254 DR MARTIN LUTHER KING JR BLVDDover, FL 33527-4414
Mailing Address14254 Dr Martin Luther King Jr BlvdDover, FL 33527-4414 · (813) 333-8781
Phone(813) 653-6100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 7, 2022
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1336860493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License✔ Licensed in FL · APRN11021969
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 9193993 (FL)
14254 DR MARTIN LUTHER KING JR BLVD, Dover, FL 33527
Open in Google Maps ↗

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 ›

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

Mirta Lugo Aprn 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 ID6204204514
PECOS Enrollment IDI20221117001189
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.

Medicare Billing Reassignment

Medicare enrollment records show Mirta Lugo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Suncoast Community Health Centers Inc
23 mi
Federally Qualified Health Center (FQHC)
820 15TH ST SE
Ruskin, FL 33570
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
NPI 1285644799 (813) 349-7800

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 33527 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 7

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

KATHLEEN LOUISE BARLOW DMD
Dentist (General Practice)
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 349-7737
BIANCA E OLIVIERI PA-C
Physician Assistant
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 653-6100
SANDI BERNICE LAMB-WILSON APRN
Nurse Practitioner (Family)
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 653-6100
SOUMYA JUDSON BEN M.D
Pediatrics
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 653-6100
CLAUDIA MARIA LOPEZ RODRIGUEZ M.D
Pediatrics
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 349-7700
JOHANA PEREIRA
Dentist (General Practice)
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 653-6100
MRS. ROBIN TIFFANY BURNS-THIGPEN PA-C
Physician Assistant (Medical)
14254 DR MARTIN LUTHER KING JR BLVD
DOVER, FL 33527
Hillsborough County (813) 349-7700

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 Mirta Lugo's NPI number?

The NPI number for Mirta Lugo is 1336860493. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Mirta Lugo located?

Mirta Lugo practices at 14254 Dr Martin Luther King Jr Blvd, Dover, FL 33527. The listed phone number is (813) 653-6100.

What is Mirta Lugo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Mirta Lugo enrolled in Medicare?

Yes. Mirta Lugo 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 organization bills Medicare for Mirta Lugo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirta Lugo reassigns Medicare benefits to Suncoast Community Health Centers Inc (Ruskin, FL). The 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 Mirta Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mirta Lugo 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 1 other insurer list Mirta Lugo 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 Mirta Lugo was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.