CONNOR LEWELLEN
NPI 1679279012
Physician Assistant - Surgical in Orlando, FL

Q: What is Connor Lewellen's NPI number?

The NPI number for Connor Lewellen is 1679279012. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Q: What is Connor Lewellen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Connor Lewellen was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 07, 2023PECOS EnrolledAccepts Medicare Assignment

7243 DELLA DR FL 3, ORLANDO, FL 32819(321) 843-5851(321) 842-0089 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Feb 7, 2023 (2 updates tracked since 2023).

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About Connor Lewellen NPPES

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

CONNOR LEWELLEN (NPI 1679279012) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9117576) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Bradenton.

NPPES Registry Identity

NPI1679279012

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameCONNOR LEWELLEN

Location Address7243 DELLA DR FL 3Orlando, FL 32819-5104

Mailing Address7243 Della DrOrlando, FL 32819-5104 · (321) 842-5851 · Fax (321) 842-0089

Phone(321) 843-5851

Fax(321) 842-0089

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 7, 2023

Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1679279012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9117576

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7243 DELLA DR FL 3, Orlando, FL 32819

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Secondary Practice Location 1

Location 11236 Tidewater CtBradenton, FL 34208-5724 · Phone (941) 224-5313

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connor Lewellen 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 ID3274976667

PECOS Enrollment IDI20240213003464

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.

Areas of Expertise CMS Part B claims 3

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

23 services21 patients

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.

17 services17 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Other Providers at the Same Location NPPES 16

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

DR. FERNANDO HERNANDEZ MD

Internal Medicine