LIZAMAR S KORFHAGE (PA C) – Physician Assistant, NPI 1790750388

LIZAMAR S KORFHAGE (PA C) is a healthcare provider. based in Rockledge, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. PA9101825 (FL). The NPI Number for LIZAMAR S KORFHAGE (PA C) is 1790750388

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LIZAMAR S KORFHAGE (PA C)
NPI
1790750388
Phone
(321) 361-5619
Address
3300 S FISKE BLVD
Enumeration Date
17 February 2006
Last Update Date
21 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7276171777
Graduation Year
2005 (21 years ago)
PAC ID
0648353037
Group Practice PAC ID
3173965993
Professional Enrollment ID
I20080207000610
Address ID
FL329584879SE989XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for LIZAMAR S KORFHAGE (PA C)

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 361-5619

    Fax: (321) 951-7408

    Type: Mailing

  • East Nasa Boulevard, Melbourne, Brevard County, Florida, 32901-3092, United States

    MELBOURNE, FL 329011950

    Phone: (321) 361-5619

    Fax: (321) 728-4135

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080207000610IPhysician AssistantFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes405205$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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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: 3173965993View full group profile
NameSpecialtyState
E N D O C R I N O L O G YFL
Physical Therapist In Private PracticeIL
N E U R O L O G YFL
Family PracticeFL
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Internal MedicineFL
Family PracticeFL
Family Practice, HospitalistFL

Reviews

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Frequently asked questions

Does LIZAMAR S KORFHAGE (PA C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LIZAMAR S KORFHAGE (PA C) uses 1790750388.
Is LIZAMAR S KORFHAGE (PA C) still practicing?
LIZAMAR S KORFHAGE (PA C) is currently listed as active in the public NPI registry.
What is LIZAMAR S KORFHAGE (PA C)'s primary classification?
Physician Assistant is the headline specialty for LIZAMAR S KORFHAGE (PA C) here. Clinical services aligned with this taxonomy classification.
Does LIZAMAR S KORFHAGE (PA C) list a practice location?
Patients near Rockledge, Florida may find LIZAMAR S KORFHAGE (PA C) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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