Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cory Adam Moogerfeld, PA-C

Individual provider Surgical Physician Assistant · NPI 1013660851

Cory Adam Moogerfeld, PA-C is a Physician Assistant in Lakeland, Florida. Qualified in 2021, 5 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone: (863) 687-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3030 Harden Blvd, Lakeland, FL 33803-7952 — (863) 687-1250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9115334 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9115334 (FL)

Record details

NPI number1013660851
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lakeland