SUNSET LAKE SURGERY CENTER LLC
NPI 1366221178
Clinic/Center - Ambulatory Surgical in Venice, FL

Active since September 22, 2023CLIA 10D2327847 · Waiver
842 SUNSET LAKE BLVD STE 301, VENICE, FL 34292(941) 375-3006 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sunset Lake Surgery Center Llc NPPES

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

SUNSET LAKE SURGERY CENTER LLC (NPI 1366221178) is a healthcare organization registered as an ambulatory surgical in Venice, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Lindsey Job, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366221178
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUNSET LAKE SURGERY CENTER LLC
Location Address842 SUNSET LAKE BLVD STE 301Venice, FL 34292-7552
Mailing Address842 Sunset Lake Blvd Ste 301Venice, FL 34292-7552 · (941) 529-0004 · Fax (833) 973-6101
Organization SubpartNo
Authorized OfficialLindsey JobCeo · (941) 375-3006
Enumeration DateSeptember 22, 2023
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1366221178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
842 SUNSET LAKE BLVD STE 301, Venice, FL 34292

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)

Sunset Lake Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sunset Lake Surgery Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1295837979
4937 CLARK RD
Sarasota, FL 34233
(941) 924-9282
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770889636
4048 EVANS AVE STE 303
Fort Myers, FL 33901
(239) 332-5344
✔ Accepts Medicare47 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235141631
1000 E MAIN ST
Danville, IN 46122
(317) 567-2180
✔ Accepts Medicare905 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10D2327847

Sunset Lake Surgery Center LLC · Venice, FL
Active · expires Jul 29, 2027
CLIA Number10D2327847
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorJob Lindsey Tucker
Laboratory Phone(941) 529-0004
Laboratory LocationSunset Lake Surgery Center LLC842 Sunset Lake Blvd, Suite 301, Venice, FL 34292
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sunset Lake Surgery Center LLC's NPI number?

The NPI number for Sunset Lake Surgery Center LLC is 1366221178. It was assigned to this organization in the NPPES registry on September 22, 2023.

Where is Sunset Lake Surgery Center LLC located?

Sunset Lake Surgery Center LLC is located at 842 Sunset Lake Blvd Ste 301, Venice, FL 34292. The listed phone number is (941) 375-3006.

What is Sunset Lake Surgery Center LLC's specialty?

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

Is Sunset Lake Surgery Center LLC enrolled in Medicare?

Yes. Sunset Lake Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunset Lake Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Sunset Lake Surgery Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sunset Lake Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327847) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunset Lake Surgery Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sunset Lake Surgery Center 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 Sunset Lake Surgery Center LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.