JACKLYN REYES PANCRUDO (D.O.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1003046962
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for JACKLYN REYES PANCRUDO (D.O.)
1875, Northwest Corporate Boulevard, Boca Raton, Palm Beach County, Florida, 33431, United States
SUITE 270
BOCA RATON, FL 334318542
Phone: (561) 997-0821
Type: Mailing
SW 40 ST@FLORIDA TURNPIKE, 11750, Southwest 40th Street, Miami-Dade County, Florida, 33175, United States
MIAMI, FL 331753530
Phone: (561) 997-0821
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 $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2023-09-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($158).
Total Amount
$299
General + Research + Ownership
Payments
3
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $158 |
| Ceribell, Inc. | $140 |
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: 2026-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140818000730 | I | Critical Care (Intensivists) | FL | TBD |
| I20160201000225 | I | Internal Medicine | TN | TBD |
| I20160726000280 | I | Internal Medicine | GA | TBD |
| I20170130000762 | I | Critical Care (Intensivists) | NY | TBD |
| I20180628001536 | I | Internal Medicine | TX | TBD |
| I20190513001932 | I | Critical Care (Intensivists) | VA | TBD |
| I20190515002280 | I | Critical Care (Intensivists) | NV | TBD |
| I20191022000274 | I | Critical Care (Intensivists) | DC | TBD |
| I20200717000469 | I | Critical Care (Intensivists) | SC | TBD |
| I20230316001190 | I | Critical Care (Intensivists) | KS | TBD |
| I20260219000992 | I | Critical Care (Intensivists) | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 113 | 51 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 38 | 26 | $0 |
Insurance plans in this area (ZIP 33431)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Internal Medicine | NY | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine, Internal Medicine | NV | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | NY | |
| Internal Medicine | NY | |
| Nurse Practitioner | CT | |
| Critical Care (Intensivists) | TX | |
| Critical Care (Intensivists), Nephrology | NY | |
| Nurse Practitioner | WV | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Internal Medicine | MI | |
| Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists) | NY |
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