MR. JAMES ALEXANDER LASTOWSKI APRN
NPI 1851886840
Nurse Practitioner - Critical Care Medicine in Sanford, FL

Q: What is James Lastowski's NPI number?

The NPI number for James Lastowski is 1851886840. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Q: What is James Lastowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for James Lastowski was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment

305 N MANGOUSTINE AVE STE 100B, SANFORD, FL 32771(407) 833-7505(407) 833-7509 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2026, Nov 15, 2022, Sep 15, 2022 and 1 more (4 updates tracked since 2018).

On this page

About Mr. James Alexander Lastowski Aprn NPPES

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

MR. JAMES ALEXANDER LASTOWSKI APRN (NPI 1851886840) is an individual critical care medicine provider in Sanford, Florida, licensed in Florida (APRN9285985) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1851886840

Entity TypeIndividualMale

Primary Taxonomy363LC0200X

Provider Legal NameMR. JAMES ALEXANDER LASTOWSKICredential: APRN

Location Address305 N MANGOUSTINE AVE STE 100BSanford, FL 32771-1004

Mailing Address305 N Mangoustine Ave Ste 100bSanford, FL 32771-1004 · (407) 833-7505 · Fax (407) 833-7509

Phone(407) 833-7505

Fax(407) 833-7509

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJune 22, 2018

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1851886840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in FL · APRN9285985

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 9285985 (FL)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN9285985 (FL)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN9285985 (FL)

305 N MANGOUSTINE AVE STE 100B, Sanford, FL 32771

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Mr. James Alexander Lastowski 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 ID6709262991

PECOS Enrollment IDI20220926000402

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

Medicare enrollment records show James Lastowski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Medical Group Inc

19 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

Orlando Health Medical Group Inc

21 mi

Internal Medicine

52 W UNDERWOOD ST
Orlando, FL 32806

Reassigned Medicare billing, Florida enrollment
3,290 clinicians in this Medicare group

NPI 1669429577 (321) 841-2452

Florida Trauma Services, LLC

341 mi

Trauma Surgery

1703 LEWIS TURNER BLVD
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Florida enrollment
77 clinicians in this Medicare group

NPI 1477296952 (850) 864-4033

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

97 services76 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

23 services22 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 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.

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier13 claims13 services$45.08 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 2

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

LUIS ROMAN TAVERAS MORALES M.D.

Surgery

305 N MANGOUSTINE AVE STE 100B
SANFORD, FL 32771

Seminole County (689) 666-9963

DR. SANJIV FITZ-MORRIS GRAY M.D.

Surgery (Surgical Critical Care)

305 N MANGOUSTINE AVE STE 100B
SANFORD, FL 32771

Seminole County (407) 323-7821

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 James Lastowski's NPI number?

The NPI number for James Lastowski is 1851886840. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is James Lastowski located?

James Lastowski practices at 305 N Mangoustine Ave Ste 100B, Sanford, FL 32771. The listed phone number is (407) 833-7505.

What is James Lastowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is James Lastowski enrolled in Medicare?

Yes. James Lastowski 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 James Lastowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lastowski reassigns Medicare benefits to 3 organizations: Florida Hospital Medical Group Inc (Orlando, FL), Orlando Health Medical Group Inc (Orlando, FL) and Florida Trauma Services, LLC (Fort Walton Beach, 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 James Lastowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lastowski accept?

Health plans from Oscar Health Maintenance Organization of Florida list James Lastowski 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.

Is James Lastowski affiliated with any hospitals?

According to CMS data, James Lastowski is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for James Lastowski was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.