LIONEL WRIGHT (PA-C) – Physician Assistant, NPI 1124664636

LIONEL WRIGHT (PA-C) is a healthcare provider. based in Deland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 58617 (CA). The NPI Number for LIONEL WRIGHT (PA-C) is 1124664636

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LIONEL WRIGHT (PA-C)
NPI
1124664636
Phone
(386) 444-9409
Address
1183 MARE DR
Enumeration Date
19 November 2019
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7146345549
Graduation Year
2020 (6 years ago)
PAC ID
0143638239
Group Practice PAC ID
6901705227
Professional Enrollment ID
I20230419002735
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for LIONEL WRIGHT (PA-C)

  • 1183 MARE DR

    DELAND, FL 327247636

    Phone: (386) 444-9409

    Type: Mailing

  • 36 1ST AVE

    BOSTON, MA 021294557

    Phone: (617) 726-2947

    Type: Location

  • 400 Parnassus Ave Ste A2103A

    San Francisco, CA 941432202

    Phone: (415) 353-2161

    Type: Location

  • 1111 CRATER LAKE AVE

    MEDFORD, OR 975046241

    Phone: (541) 732-6400

    Type: Mailing

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-2986

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Medtronic, Inc. ($55).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$55
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210408001560IPhysician AssistantORTBD
I20230419002735IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2922$0
99214Established patient office or other outpatient visit, 30-39 minutes2926$0
99284Emergency department visit with moderate level of medical decision making2121$0
99285Emergency department visit with high level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 32724)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901705227View full group profile
NameSpecialtyState
P S Y C H I A T R YNC
Physician AssistantPA
General SurgeryCA
Physician AssistantCA
Surgical OncologyMA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
General Surgery, Vascular SurgeryCA
General Surgery, Critical Care (Intensivists)CA

Reviews

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Frequently asked questions

Is there an official ID for LIONEL WRIGHT (PA-C) in U.S. healthcare records?
The official identifier for LIONEL WRIGHT (PA-C) is NPI 1124664636.
Is LIONEL WRIGHT (PA-C) still an active registrant?
LIONEL WRIGHT (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with LIONEL WRIGHT (PA-C)?
LIONEL WRIGHT (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is LIONEL WRIGHT (PA-C) registered?
Use Deland, Florida as the headline location for LIONEL WRIGHT (PA-C) here.
What does 7 location(s) imply?
7 practice locations appear in the available data.