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DR. LORENA SOUSA MD
NPI 1679000756
Internal Medicine in Port St Lucie, FL

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
150 SW CHAMBER CT STE 101, PORT ST LUCIE, FL 34986(772) 301-0123(772) 301-0124 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Sep 4, 2025, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Lorena Sousa Md NPPES

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

DR. LORENA SOUSA MD (NPI 1679000756) is an individual internal medicine provider in Port St Lucie, Florida, licensed in Florida (ME151306) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679000756
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LORENA SOUSACredential: MD
Location Address150 SW CHAMBER CT STE 101Port St Lucie, FL 34986-3413
Mailing Address150 Sw Chamber Ct Ste 205Port St Lucie, FL 34986-3413
Phone(772) 301-0123
Fax(772) 301-0124
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 19, 2017
Last NPPES UpdateSeptember 18, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1679000756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME151306
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
150 SW CHAMBER CT STE 101, Port St Lucie, FL 34986
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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

Dr. Lorena Sousa Md 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 ID6305115239
PECOS Enrollment IDI20210827001653
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 Reassignments

2

Medicare enrollment records show Lorena Sousa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimal Care Pediatrics LLC
Same address
Pediatrics
150 SW CHAMBER CT STE 101
Port Saint Lucie, FL 34986
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1861909384 (772) 301-0123
Hospital Medicine Services Of Fl, LLC
94 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
234 services120 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
97%2,116 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%611 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims22 services$8.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER RAE WITT CPNP
Nurse Practitioner (Pediatrics)
150 SW CHAMBER CT STE 101
PORT ST LUCIE, FL 34986
St. Lucie County (772) 301-0123
MONIQUE MICHELLE MONDESIR M.D.
Pediatrics
150 SW CHAMBER CT STE 101
PORT ST LUCIE, FL 34986
St. Lucie County (772) 301-0123
OPTIMAL CARE PEDIATRICS LLC
Pediatrics
150 SW CHAMBER CT STE 101
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 301-0123

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 Lorena Sousa's NPI number?

The NPI number for Lorena Sousa is 1679000756. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Lorena Sousa located?

Lorena Sousa practices at 150 SW Chamber Ct Ste 101, Port St Lucie, FL 34986. The listed phone number is (772) 301-0123.

What is Lorena Sousa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lorena Sousa enrolled in Medicare?

Yes. Lorena Sousa 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 organizations bill Medicare for Lorena Sousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Sousa reassigns Medicare benefits to 2 organizations: Optimal Care Pediatrics LLC (Port Saint Lucie, FL) and Hospital Medicine Services Of Fl, LLC (Aventura, FL). Each 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 Lorena Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorena Sousa accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Lorena Sousa 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 Lorena Sousa was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.