Heartland Surgical Assistants, Inc
NPI 1689764763 · Physician Assistant · Winter Haven, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heartland Surgical Assistants, Inc is a Physician Assistant organization in Winter Haven, FL (NPI 1689764763).
Provider details
- NPI number
- 1689764763
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kevin Carlisle, President(863) 381-7632
- License
- PA1682 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1324 Lakeland Hills BlvdLakeland, FL 33805-4543Phone: (863) 381-7647
- 4200 Sun N Lake BlvdSebring, FL 33872-1986Phone: (863) 471-1413Fax: (863) 471-1416
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Heartland Surgical Assistants, Inc's NPI number?
- Heartland Surgical Assistants, Inc's National Provider Identifier (NPI) is 1689764763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heartland Surgical Assistants, Inc?
- Heartland Surgical Assistants, Inc is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heartland Surgical Assistants, Inc located?
- Heartland Surgical Assistants, Inc's practice location on file with NPPES is 200 Avenue F Ne, Winter Haven, FL 33881-4131.
- What is Heartland Surgical Assistants, Inc's phone number?
- The practice phone number listed in the NPPES registry for Heartland Surgical Assistants, Inc is (863) 381-7647.
- Does Heartland Surgical Assistants, Inc accept Medicare?
- Heartland Surgical Assistants, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heartland Surgical Assistants, Inc?
- The authorized official listed on Heartland Surgical Assistants, Inc's NPPES record is Kevin Carlisle, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heartland Surgical Assistants, Inc's NPI active?
- Yes — Heartland Surgical Assistants, Inc's NPI (1689764763) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.