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CAPITAL REGIONAL MEDICAL CENTER LAKE JACKSON ER
NPI 1457012940
Emergency Medicine in Tallahassee, FL

Active since January 06, 2022
3157 N MONROE ST, TALLAHASSEE, FL 32303(850) 692-0300 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2022, Jan 6, 2022 (2 updates tracked since 2022).

About Capital Regional Medical Center Lake Jackson Er NPPES

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

CAPITAL REGIONAL MEDICAL CENTER LAKE JACKSON ER (NPI 1457012940) is a healthcare organization registered as an emergency medicine in Tallahassee, Florida and active in the NPI registry since January 2022. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1457012940
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameLAKE OLIVER EMERGENCY GROUP, LLC
Location Address3157 N MONROE STTallahassee, FL 32303-2819
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (337) 609-1153
Phone(850) 692-0300
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateJanuary 6, 2022
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1457012940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3157 N MONROE ST, Tallahassee, FL 32303
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Other Names 1

Other NameCapital Regional Medical Center Lake Jackson Er

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital Regional Medical Center Lake Jackson Er is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

81

Medicare enrollment records show 81 clinicians reassign Medicare billing to Capital Regional Medical Center Lake Jackson ER, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine49
Nurse Practitioner25
Family Practice6
Internal Medicine1

Nearest to this location (20)

See all 81
Lori Harrison, FNP
Nurse Practitioner
NPI 1730355132
1000 W THARPE ST STE 5
Tallahassee, FL 32303
(850) 274-4238
✔ PECOS✔ Accepts Medicare1.7 mi
Easa Darwish, APRN
Nurse Practitioner
NPI 1588255434
438 W BREVARD ST
Tallahassee, FL 32301
(850) 577-0045
✔ PECOS3.0 mi
Stephen Cremin, M.D.
Emergency Medicine
NPI 1780640599
1300 MICCOSUKEE RD BIXLER EMERGENCY CENTER
Tallahassee, FL 32308
(850) 431-0756
✔ PECOS✔ Accepts Medicare3.7 mi
Micah Hughes
Nurse Practitioner
NPI 1235599671
1300 MICCOSUKEE ROAD BIXLER EMERGENCY CENTER
Tallahassee, FL 32308
(850) 431-0911
✔ PECOS✔ Accepts Medicare3.7 mi
Colby Redfield, M.D.
Emergency Medicine
NPI 1477828739
1300 MICCOSUKEE ROAD BIXLER EMERGENCY CENTER
Tallahassee, FL 32308
(850) 431-0911
✔ PECOS✔ Accepts Medicare3.7 mi
Yawen Ping, ARNP-C
Nurse Practitioner
NPI 1467734681
1300 MEDICAL DR
Tallahassee, FL 32308
(850) 216-0180
✔ PECOS✔ Accepts Medicare3.7 mi
Dayanis Acosta, D.O.
Emergency Medicine
NPI 1710379920
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS4.9 mi
Casey Arnold
Emergency Medicine
NPI 1932563145
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(321) 505-6620
✔ PECOS4.9 mi
Kiara Barnes, APRN, DNP, FNP-BC
Nurse Practitioner
NPI 1598499212
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS4.9 mi
Bethsaida Gillum, ARNP
Nurse Practitioner
NPI 1902189376
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS✔ Accepts Medicare4.9 mi
James Harrison, FNP-C
Nurse Practitioner
NPI 1740022086
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS✔ Accepts Medicare4.9 mi
Carson Hausmann
Nurse Practitioner
NPI 1649806175
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(561) 308-8620
✔ PECOS✔ Accepts Medicare4.9 mi
Juvenal Havyarimana, M.D.
Emergency Medicine
NPI 1194187310
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS✔ Accepts Medicare4.9 mi
Christopher Martin, MD
Emergency Medicine
NPI 1982021846
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS✔ Accepts Medicare4.9 mi
Robert Pryor, ACNP
Nurse Practitioner
NPI 1356658785
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5885
✔ PECOS✔ Accepts Medicare4.9 mi
Hannah Walker, DNP, MSN, FNP-BC
Nurse Practitioner
NPI 1316476138
2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308
(850) 325-5000
✔ PECOS4.9 mi
Guy Leuschner, APRN
Nurse Practitioner
NPI 1285401299
116 PRESERVE CT
Tallahassee, FL 32317
(717) 304-5375
✔ PECOS✔ Accepts Medicare6.6 mi
Charles Gerz, ARNP-C
Nurse Practitioner
NPI 1497993380
7148 ATASCADERO LN
Tallahassee, FL 32317
(850) 510-6673
✔ PECOS✔ Accepts Medicare9.8 mi
Aaron-Nickolaos Zervos, DO
Family Practice
NPI 1174086110
23186 BLUE STAR HWY
Quincy, FL 32351
(850) 875-6000
✔ PECOS✔ Accepts Medicare15 mi
Courtney Davis, FNP-C, AGACNP-BC
Nurse Practitioner
NPI 1609336296
71 SONGBIRD AVE STE D
Crawfordville, FL 32327
(850) 343-5800
✔ PECOS20 mi
See all 81 clinicians

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 Oliver Emergency Group, LLC's NPI number?

The NPI number for Lake Oliver Emergency Group, LLC is 1457012940. It was assigned to this organization in the NPPES registry on January 6, 2022. The provider is also known as Capital Regional Medical Center Lake Jackson ER.

Where is Lake Oliver Emergency Group, LLC located?

Lake Oliver Emergency Group, LLC is located at 3157 N Monroe St, Tallahassee, FL 32303. The listed phone number is (850) 692-0300.

What is Lake Oliver Emergency Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lake Oliver Emergency Group, LLC enrolled in Medicare?

Yes. Lake Oliver Emergency Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Oliver Emergency Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 4 Medicare specialties reassign their Medicare billing to Lake Oliver Emergency Group, 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. The largest specialties are Emergency Medicine (49), Nurse Practitioner (25) and Family Practice (6). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Oliver Emergency Group, LLC was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.