MR. JOSE LUIS LIZARDI PA-C
NPI 1710959622
Physician Assistant - Medical in Davenport, FL

Active since February 03, 2006PECOS Enrolled
2330 NORTH BLVD W, DAVENPORT, FL 33837(407) 931-0444(407) 962-4446 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2021, Apr 5, 2021 (2 updates tracked since 2021).

About Mr. Jose Luis Lizardi Pa-c NPPES

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

MR. JOSE LUIS LIZARDI PA-C (NPI 1710959622) is an individual medical provider in Davenport, Florida, licensed in Florida (PA3731) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1710959622
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOSE LUIS LIZARDICredential: PA-C
Location Address2330 NORTH BLVD WDavenport, FL 33837-8989
Mailing AddressPo Box 44008, Ufjp Winter HavenJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425
Fax(407) 962-4446
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
NPI 1710959622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA3731
2330 NORTH BLVD W, Davenport, FL 33837

Secondary Practice Locations 8

Location 11115 N John Young PkwyKissimmee, FL 34741-4209 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 22685 SW 32nd Pl Ste 100Ocala, FL 34471-7863 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 35249 Conway RdOrlando, FL 32812-2202 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 43130 Citrus Tower BlvdClermont, FL 34711-6801 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 56210 W Colonial Dr Ste 100Orlando, FL 32808-7504 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 65425 S Semoran BlvdOrlando, FL 32822-1748 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 7931 W Oak St Ste 103Kissimmee, FL 34741-4973 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 8900 Towne Center DrKissimmee, FL 34759-3470 · Phone (407) 931-0444

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jose Luis Lizardi Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%20 patients
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.

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.

General Practice
2330 NORTH BLVD W
DAVENPORT, FL 33837
Nurse Practitioner (Family)
2330 NORTH BLVD W
DAVENPORT, FL 33837
General Practice
2330 NORTH BLVD W
DAVENPORT, FL 33837

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 Jose Lizardi's NPI number?

The NPI number for Jose Lizardi is 1710959622. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Jose Lizardi located?

Jose Lizardi practices at 2330 North Blvd W, Davenport, FL 33837. The listed phone number is (407) 931-0444.

What is Jose Lizardi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jose Lizardi enrolled in Medicare?

Yes. Jose Lizardi is registered in the Medicare PECOS enrollment system.

What insurance does Jose Lizardi accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and AvMed list Jose Lizardi 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 Jose Lizardi was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.