2026 NPPES data Critical Care Medicine Nurse Practitioner NPI 1851886840 APRN
Verify on CMS →

James Lastowski, APRN

Critical Care Medicine Nurse Practitioner in Sanford, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,490 in Critical Care Medicine Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.

What the federal data shows

James Lastowski, APRN is a Critical Care Medicine Nurse Practitioner in Sanford, Florida, listed in the federal CMS National Provider Identifier registry.

#168
Critical Care Medicine Nurse Practitioner rank among Florida specialties

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about James Lastowski, APRN

Bare NPI registry listing — limited federal enrichment beyond basic enumeration. Verify all credentials with official sources.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1851886840), first enumerated 06/22/2018.

    Source: CMS NPPES

  • Not in federal data

    Medicare Part D participation

    No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).

    Source: CMS Part D Prescriber PUF

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not James Lastowski, APRN's individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1851886840 · Critical Care Medicine Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-NARROW · RX-NONE · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1851886840
  • ENUM-RECENT 2018
  • TAX-NARROW 1,490
  • RX-NONE No Part D
  • BOOK-THIN 149 in Florida
  • PHOTO-ENUM Jessica Cooley, AGAC… · 2018

What does the federal data show about James Lastowski, APRN?

Quality data not reported

NPI registry status

Active

Issued 06/22/2018

NPI 1851886840

Primary specialty

Critical Care Medicine Nurse Practitioner

Niche

1,490 US NPIs in this specialty

Specialty distribution in Florida

How Critical Care Medicine Nurse Practitioner compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%Critical Care Medicine Nurse…0%
Largest specialties in Florida (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine Nurse Practitioner. Verify directly:

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

305 N MANGOUSTINE AVE STE 100B
Sanford, FL 32771

Provider Details

NPI 1851886840
Specialty Critical Care Medicine Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 06/22/2018

Hospital and facility affiliations

Facilities where James Lastowski, APRN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Florida Hospital Medical Group Inc
Maitland, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to James Lastowski, APRN. To verify James Lastowski, APRN's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Critical Care Medicine Nurse Practitioner Overview

How James Lastowski, APRN fits within the Critical Care Medicine Nurse Practitioner landscape nationally.

1,490
Critical Care Medicine Nurse Practitioner Providers in US
51
States with Critical Care Medicine Nurse Practitioner
425
Avg Claims per Provider

Nationwide Critical Care Medicine Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Lastowski, both outside Florida so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2018)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Critical Care Medicine Nurse Practitioner Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Lastowski.

One of 149 Critical Care Medicine Nurse Practitioner providers enrolled in Florida, 5 are shown here.

Compare Critical Care Medicine Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is James Lastowski, APRN's specialty?
James Lastowski, APRN specializes in Critical Care Medicine Nurse Practitioner and practices in Sanford, Florida. Credentials: APRN.
Where is James Lastowski, APRN located?
James Lastowski, APRN is located at 305 N MANGOUSTINE AVE STE 100B, Sanford, FL, 32771. Phone: (407) 833-7505.
What is James Lastowski, APRN's NPI number?
James Lastowski, APRN's National Provider Identifier (NPI) is 1851886840, issued on 06/22/2018.
How many Critical Care Medicine Nurse Practitioner providers are there in the US?
There are 1,490 Critical Care Medicine Nurse Practitioner providers across 51 states in the US. The average Critical Care Medicine Nurse Practitioner provider writes 425 Medicare Part D claims per year.
Does James Lastowski, APRN accept Medicare?
James Lastowski, APRN appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Lastowski, APRN's credentials?
James Lastowski, APRN's NPI is 1851886840 with credentials APRN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.