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KATHLEEN D LAUDERBACK ARNP
NPI 1871779652
Nurse Practitioner - Family in Apopka, FL

Active since January 11, 2008PECOS Enrolled
515 WEKIVA COMMONS CIR, APOPKA, FL 32712(407) 464-9516(407) 464-9519 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathleen D Lauderback Arnp NPPES

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

KATHLEEN D LAUDERBACK ARNP (NPI 1871779652) is an individual family provider in Apopka, Florida, licensed in Florida (1611212) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871779652
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN D LAUDERBACKCredential: ARNP
Location Address515 WEKIVA COMMONS CIRApopka, FL 32712-3645
Mailing Address515 Wekiva Commons CirApopka, FL 32712-3645 · (407) 464-9516 · Fax (407) 464-9519
Phone(407) 464-9516
Fax(407) 464-9519
Sole ProprietorNo
Enumeration DateJanuary 11, 2008
Last NPPES UpdateMarch 10, 2015
✔ NPI 1871779652 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 · 1611212
515 WEKIVA COMMONS CIR, Apopka, FL 32712
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Other Identifiers 2

Medicare PINU3313ZFL
Medicare UPINQ24175FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen D Lauderback Arnp 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 Billing Reassignments

2

Medicare enrollment records show Kathleen Lauderback reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Associate Of Central Florida
12 mi
Gastroenterology
1817 N MILLS AVE
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Gastroenterology Assoc Of Central Fl
  • 18 clinicians in this Medicare group
NPI 1750320099 (407) 896-1726
Central Florida Hospitalist Partners PA
14 mi
Hospitalist
1414 KUHL AVE
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 191 clinicians in this Medicare group
NPI 1558381921 (407) 464-9516

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 32712 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.

MINIMOL CHIRAKAROTTU MATHEW APRN
Nurse Practitioner (Family)
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
MS. SHANIEL GORDON FNP
Nurse Practitioner (Family)
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
NIDA FAROKH YUSUFALI
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
RAJAT MALIK DO
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
ANGELA EASTER ARNP
Nurse Practitioner (Adult Health)
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
DR. GLENN SARIOL M.D.
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
ZAYAR MIN OO MD
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516
MRUGESHKUMAR PATEL MD
Hospitalist
515 WEKIVA COMMONS CIR
APOPKA, FL 32712
Orange County (407) 464-9516

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 Kathleen Lauderback's NPI number?

The NPI number for Kathleen Lauderback is 1871779652. It was assigned to this individual provider in the NPPES registry on January 11, 2008.

Where is Kathleen Lauderback located?

Kathleen Lauderback practices at 515 Wekiva Commons Cir, Apopka, FL 32712. The listed phone number is (407) 464-9516.

What is Kathleen Lauderback's specialty?

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

Is Kathleen Lauderback enrolled in Medicare?

Yes. Kathleen Lauderback is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Lauderback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Lauderback reassigns Medicare benefits to 2 organizations: Gastroenterology Associate Of Central Florida (Orlando, FL) and Central Florida Hospitalist Partners PA (Orlando, 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 Kathleen Lauderback'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 Kathleen Lauderback was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.