MR. JUSTIN FENNER LETOURNEAU PA-C
NPI 1861710923
Physician Assistant in St Petersburg, FL

Q: What is Justin Letourneau's NPI number?

The NPI number for Justin Letourneau is 1861710923. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Q: What is Justin Letourneau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Letourneau was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 13, 2010PECOS EnrolledAccepts Medicare Assignment

5565 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33703(727) 577-1203(727) 577-0893 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2021, Dec 14, 2020, Aug 14, 2018 (3 updates tracked since 2018).

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About Mr. Justin Fenner Letourneau Pa-c NPPES

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

MR. JUSTIN FENNER LETOURNEAU PA-C (NPI 1861710923) is an individual physician assistant in St Petersburg, Florida, licensed in Florida (PA9108503) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861710923

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JUSTIN FENNER LETOURNEAUCredential: PA-C

Location Address5565 DR MARTIN LUTHER KING JR ST NSt Petersburg, FL 33703-1203

Mailing Address2110 58th St WBradenton, FL 34209-5660 · (941) 388-8997 · Fax (941) 306-5876

Phone(727) 577-1203

Fax(727) 577-0893

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 13, 2010

Last NPPES UpdateJune 30, 20213 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1861710923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9108503

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9108503 (FL)

5565 DR MARTIN LUTHER KING JR ST N, St Petersburg, FL 33703

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Secondary Practice Locations 2

Location 15860 Ranch Lake Blvd, Suite 200Bradenton, FL 34202-3708 · Phone (941) 388-8997 · Fax (941) 306-5876

Location 216461 Domestic AveFort Myers, FL 33912-6008 · Phone (877) 266-7768 · Fax (603) 952-3900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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. Justin Fenner Letourneau Pa-c 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 ID1153639679

PECOS Enrollment IDI20151002001668

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 4

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

408 services60 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

233 services64 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.

67 services30 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

59 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33703 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 6

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

DR. DAVID CUBITO PSY.D.

Psychologist