ELIZABETH BAUZA ESTRADA – Family Nurse Practitioner, NPI 1003465527

ELIZABETH BAUZA ESTRADA is a healthcare provider. based in Hialeah, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11003628 (FL). The NPI Number for ELIZABETH BAUZA ESTRADA is 1003465527

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BAUZA ESTRADA
NPI
1003465527
Phone
(786) 259-3944
Address
1155 W 77th St Apt 312C
Enumeration Date
6 September 2019
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3865741423
Graduation Year
2019 (7 years ago)
PAC ID
1052798451
Group Practice PAC ID
0840377610
Professional Enrollment ID
I20220524000322
Address ID
FL327255823DE1565XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ELIZABETH BAUZA ESTRADA

  • 1155 W 77th St Apt 312C

    Hialeah, FL 330143943

    Phone: (786) 259-3944

    Type: Location

  • 1155 W 77TH ST APT 312C

    HIALEAH, FL 330143943

    Phone: (786) 259-3944

    Type: Mailing

  • 1409 E HANCOCK DR

    DELTONA, FL 327256443

    Phone: (786) 259-3944

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $343.

Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Lilly USA, LLC ($87).

Total Amount

$343

General + Research + Ownership

Payments

19

Total payment records

General Amount

$343

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

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: 2022-05-24

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
I20220524000322INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33014)

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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: 0840377610View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is ELIZABETH BAUZA ESTRADA identified in CMS data?
CMS-hosted NPPES data lists ELIZABETH BAUZA ESTRADA with NPI 1003465527.
Can I rely on ELIZABETH BAUZA ESTRADA being an active provider?
As of the registry snapshot, ELIZABETH BAUZA ESTRADA is marked active.
What healthcare role does ELIZABETH BAUZA ESTRADA hold?
Scheduling teams often label ELIZABETH BAUZA ESTRADA under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH BAUZA ESTRADA based?
ELIZABETH BAUZA ESTRADA is tied to Hialeah, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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