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

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: August 09, 2026.

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

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
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

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 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.

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

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

Surgery (Surgical Critical Care)
305 N MANGOUSTINE AVE STE 100B
SANFORD, FL 32771

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.

What insurance does James Lastowski accept?

Health plans from Wellpoint 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 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.