MARCELLA VAZQUEZ (APRN) – Family Nurse Practitioner, NPI 1053168559

MARCELLA VAZQUEZ (APRN) is a healthcare provider. based in Lake placid, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11028182 (FL). The NPI Number for MARCELLA VAZQUEZ (APRN) is 1053168559

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MARCELLA VAZQUEZ (APRN)
NPI
1053168559
Phone
(863) 633-9686
Address
200 INTERSTATE WAY NW
Enumeration Date
2 May 2024
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8633852606
Graduation Year
2023 (3 years ago)
PAC ID
3274078779
Group Practice PAC ID
0648247056
Professional Enrollment ID
I20240709001868
Address ID
FL338705463SE130XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:2State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MARCELLA VAZQUEZ (APRN)

  • 200 INTERSTATE WAY NW

    LAKE PLACID, FL 338529701

    Phone: (863) 633-9686

    Type: Mailing

  • 5901 US HIGHWAY 27 S

    SEBRING, FL 338702117

    Phone: (863) 471-6227

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($46).

Total Amount

$153

General + Research + Ownership

Payments

8

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-07-09

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
I20240709001868INurse 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 33852)

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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: 0648247056View full group profile
NameSpecialtyState
Internal Medicine, NephrologyFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does MARCELLA VAZQUEZ (APRN) have a public NPI I can cite?
Public records show MARCELLA VAZQUEZ (APRN) under NPI 1053168559.
Should I treat MARCELLA VAZQUEZ (APRN) as an active provider?
Patients and plans typically see MARCELLA VAZQUEZ (APRN) as active in the national extract.
What services align with MARCELLA VAZQUEZ (APRN)'s listing?
MARCELLA VAZQUEZ (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARCELLA VAZQUEZ (APRN) tied to Lake Placid, Florida?
If you are local to Lake Placid, Florida, MARCELLA VAZQUEZ (APRN) may be relevant to your search.
Why is information missing for MARCELLA VAZQUEZ (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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