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ANGELICA FONSECA APRN
NPI 1770420721
Nurse Practitioner - Family in Lakeland, FL

Active since April 29, 2026PECOS EnrolledAccepts Medicare Assignment
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7000(866) 607-9776 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Apr 29, 2026 (2 updates tracked since 2026).

About Angelica Fonseca Aprn NPPES

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

ANGELICA FONSECA APRN (NPI 1770420721) is an individual family provider in Lakeland, Florida, licensed in Florida (APRN11049274) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2026).

NPPES Registry Identity

NPI1770420721
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELICA FONSECACredential: APRN
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3065
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3065 · (863) 680-7000 · Fax (866) 264-8519
Phone(863) 680-7000
Fax(866) 607-9776
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2026
Enumeration DateApril 29, 2026
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1770420721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11049274
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805
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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

Angelica Fonseca Aprn 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 ID1456810266
PECOS Enrollment IDI20260821004596
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 Reassignment

Medicare enrollment records show Angelica Fonseca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Watson Clinic LLP
Same address
Internal Medicine
1600 LAKELAND HILLS BLVD
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 417 clinicians in this Medicare group
NPI 1316940695 (863) 680-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 20

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

DAWN M PALASZEWSKI M.D.
Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000
DR. JULIA MCNEICE DO
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
CHEZA MARIE WILKINSON APRN
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7490
FRANCES MARIE HARRIS MD
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000
ROBERT H BEVIS MD
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
DANTON MANABAT SUN MD
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
DR. LILLIAM S. CHIQUES-COLON MD
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
ANNA M DE LA TORRE CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000

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 Angelica Fonseca's NPI number?

The NPI number for Angelica Fonseca is 1770420721. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Angelica Fonseca located?

Angelica Fonseca practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7000.

What is Angelica Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angelica Fonseca enrolled in Medicare?

Yes. Angelica Fonseca 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 organization bills Medicare for Angelica Fonseca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Fonseca reassigns Medicare benefits to Watson Clinic LLP (Lakeland, FL). The 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 Angelica Fonseca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelica Fonseca was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.