TRAILS EDGE SURGERY CENTER, LLC
NPI 1639650161
Clinic/Center - Ambulatory Surgical in Bonita Springs, FL

Q: What is Trails Edge Surgery Center, LLC's NPI number?

The NPI number for Trails Edge Surgery Center, LLC is 1639650161. It was assigned to this organization in the NPPES registry on August 23, 2018.

Q: What is Trails Edge Surgery Center, LLC's specialty?

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

Active since August 23, 2018CLIA 10D1056544 · Waiver

28930 TRAILS EDGE BLVD, BONITA SPRINGS, FL 34134(239) 333-3200 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Trails Edge Surgery Center, Llc NPPES

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

TRAILS EDGE SURGERY CENTER, LLC (NPI 1639650161) is a healthcare organization registered as an ambulatory surgical in Bonita Springs, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Jacky Lucia, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1639650161

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameTRAILS EDGE SURGERY CENTER, LLC

Location Address28930 TRAILS EDGE BLVDBonita Springs, FL 34134-7582

Mailing Address28930 Trails Edge BlvdBonita Springs, FL 34134-7582 · (239) 333-3200

Phone(239) 333-3200

Organization SubpartNo

Authorized OfficialJacky LuciaChief Administrative Officer · (239) 963-7365

Enumeration DateAugust 23, 2018

✔ NPI 1639650161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

28930 TRAILS EDGE BLVD, Bonita Springs, FL 34134

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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 10D1056544

Trails Edge Surgery Center LLC · Bonita Springs, FL

Active · expires Jul 18, 2028

CLIA Number10D1056544

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 19, 2026

Certificate Expiration DateJuly 18, 2028

Laboratory DirectorRolando Rivera

Laboratory Phone(239) 495-4300

Laboratory LocationTrails Edge Surgery Center LLC28930 Trails Edge Blvd Ste 100, Bonita Springs, FL 34134

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims 26

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,900 services30 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

194 services185 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

122 services122 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

115 services51 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

71 services62 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

63 services63 patients

Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

50 services50 patients

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants C9740

Cystourethroscopy with insertion of transprostatic implant is a procedure where tiny implants are placed in the prostate area via a thin tube inserted through the urinary passage. This helps to manage urinary flow issues. Four or more implants may be used.

47 services47 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

46 services36 patients

Biopsy of bladder using an endoscope 52204

A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.

42 services42 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

35 services30 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

35 services27 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

31 services28 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

30 services30 patients

Dilation of urethra using an endoscope 52281

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

27 services27 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

23 services23 patients

Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope 52214

This procedure involves the use of a special tool called an endoscope to remove or destroy abnormal tissue in the bladder or urethra. It's done to treat certain conditions and improve your health.

20 services20 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

18 services16 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

18 services18 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

17 services17 patients

Incision of urethra using an endoscope 52276

This is a minimally invasive procedure where a small instrument, called an endoscope, is used to make an incision in the urethra. The urethra is the tube that allows urine to pass out of the body. This procedure can help address certain health issues, ensuring a smoother flow of urine.

14 services13 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

14 services14 patients

Placement of stabilizing device to lower spine level 22869

The placement of a stabilizing device to the lower spine level is a procedure aimed at providing support to your back. It involves positioning a device in your lower spine to help maintain its alignment and stability, reducing pain and improving mobility.

13 services13 patients

Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm 52318

This procedure involves breaking down large stones in the bladder into smaller pieces and then removing them. It's performed when stones are too big to pass naturally. The process is safe and helps restore normal bladder function.

13 services13 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

12 services11 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

11 services11 patients

Other Providers at the Same Location NPPES 3

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

JESSICA LYNN ANDERSON-RIDDELL ARNP

Nurse Practitioner

28930 TRAILS EDGE BLVD, SUITE 200
BONITA SPRINGS, FL 34134

Lee County (239) 293-0294

GULFSHORE UROLOGY LLC

Urology

28930 TRAILS EDGE BLVD, SUITE 200
BONITA SPRINGS, FL 34134

Lee County (239) 333-3200

21ST CENTURY ONCOLOGY LLC

Durable Medical Equipment & Medical Supplies

28930 TRAILS EDGE BLVD
BONITA SPRINGS, FL 34134

Lee County (239) 495-3000

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 Trails Edge Surgery Center, LLC's NPI number?

The NPI number for Trails Edge Surgery Center, LLC is 1639650161. It was assigned to this organization in the NPPES registry on August 23, 2018.

Where is Trails Edge Surgery Center, LLC located?

Trails Edge Surgery Center, LLC is located at 28930 Trails Edge Blvd, Bonita Springs, FL 34134. The listed phone number is (239) 333-3200.

What is Trails Edge Surgery Center, LLC's specialty?

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

Does Trails Edge Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1056544) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trails Edge Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Trails Edge 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 Trails Edge Surgery Center, LLC was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.