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NICK M UNGSON, .M.D., PA
NPI 1366647802
Specialist in Leesburg, FL

Active since June 15, 2007
33057 PROFESSIONAL DRIVE, SUITE 102, LEESBURG, FL 34788(352) 787-0081(352) 314-9444 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nick M Ungson, .m.d., Pa NPPES

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

NICK M UNGSON, .M.D., PA (NPI 1366647802) is a healthcare organization registered as a specialist in Leesburg, Florida and active in the NPI registry since June 2007. The organization lists Lourdes Nicolas Ungson, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1366647802
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE CENTER OF H.O.P.E., PA
Location Address33057 PROFESSIONAL DRIVE, SUITE 102Leesburg, FL 34788
Mailing Address33057 Professional Drive, Suite 102Leesburg, FL 34788-7507 · (352) 787-0081 · Fax (352) 314-9444
Phone(352) 787-0081
Fax(352) 314-9444
Organization SubpartNo
Authorized OfficialLourdes Nicolas UngsonSecretary Treasurer · (352) 787-0081
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 21, 2013
✔ NPI 1366647802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 75000006578
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
33057 PROFESSIONAL DRIVE, Leesburg, FL 34788
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Other Names 1

Other NameNick M Ungson, .m.d., Pa

Other Identifiers 1

Medicare ID-Type UnspecifiedK4978FL · Group Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Nick M Ungson, .m.d., Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nick M Ungson, .M.D., PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nick Ungson, M.D.
Psychiatry
NPI 1750431433
33057 PROFESSIONAL DR SUITE 102
Leesburg, FL 34788
(352) 787-0081
✔ PECOS✔ Accepts MedicareSame address
James Moore, ED.D.
Clinical Psychologist
NPI 1134116544
3188 MANSFIELD ST
The Villages, FL 32162
(352) 409-7030
✔ PECOS✔ Accepts Medicare13 mi

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

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 Lake Center Of H.O.P.E., PA's NPI number?

The NPI number for Lake Center Of H.O.P.E., PA is 1366647802. It was assigned to this organization in the NPPES registry on June 15, 2007. The provider is also known as Nick M Ungson, .M.D., PA.

Where is Lake Center Of H.O.P.E., PA located?

Lake Center Of H.O.P.E., PA is located at 33057 Professional Drive Suite 102, Leesburg, FL 34788. The listed phone number is (352) 787-0081.

What is Lake Center Of H.O.P.E., PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lake Center Of H.O.P.E., PA enrolled in Medicare?

Yes. Lake Center Of H.O.P.E., PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Center Of H.O.P.E., PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lake Center Of H.O.P.E., PA, in Clinical Psychologist and Psychiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Center Of H.O.P.E., PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lake Center Of H.O.P.E., PA 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 Lake Center Of H.O.P.E., PA was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.