KENSON BELIZAIRE – Family Nurse Practitioner, NPI 1073180352

KENSON BELIZAIRE is a healthcare provider. based in Lake worth, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11013409 (FL). The NPI Number for KENSON BELIZAIRE is 1073180352

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KENSON BELIZAIRE
NPI
1073180352
Phone
(954) 864-4191
Address
4777 CAPITAL DR
Enumeration Date
7 June 2021
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5618822878
Graduation Year
2020 (6 years ago)
PAC ID
3173916038
Group Practice PAC ID
7012201965
Professional Enrollment ID
I20220730000401
Address ID
FL334072413MA901XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for KENSON BELIZAIRE

  • 4777 CAPITAL DR

    LAKE WORTH, FL 334638186

    Phone: (954) 864-4191

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-30

PECOS data refreshed: 2026-06-15

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
I20220730000401INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7472$0
View full utilization report →

Insurance plans in this area (ZIP 33463)

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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: 7012201965View full group profile
NameSpecialtyState
-FL
-OH
Internal MedicineFL
Internal MedicineFL
Family Practice, Emergency Medicine, HospitalistFL
Family PracticeFL
Family PracticePA
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for KENSON BELIZAIRE in the U.S.?
In the U.S., KENSON BELIZAIRE is identified by NPI 1073180352.
Is KENSON BELIZAIRE's NPI status active today?
Active status means KENSON BELIZAIRE's NPI record is not deactivated in the public file.
What services align with KENSON BELIZAIRE's listing?
KENSON BELIZAIRE's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KENSON BELIZAIRE?
KENSON BELIZAIRE shows a connection to Lake Worth, Florida in registry-derived data.
Can I export KENSON BELIZAIRE's record?
You can download the official NPPES record; we summarize key fields for readability.

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