TATIANA RONDON LEYVA (FNP) – Family Nurse Practitioner, NPI 1104635051

TATIANA RONDON LEYVA (FNP) is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F09240566 (FL). The NPI Number for TATIANA RONDON LEYVA (FNP) is 1104635051

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
TATIANA RONDON LEYVA (FNP)
NPI
1104635051
Phone
(786) 355-6470
Address
292 NE 114TH ST
Enumeration Date
6 January 2025
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864742216
Graduation Year
2024 (2 years ago)
PAC ID
3577081611
Group Practice PAC ID
3274989520
Professional Enrollment ID
I20250513001950
Address ID
FL331653632MI3421XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TATIANA RONDON LEYVA (FNP)

  • 292 NE 114TH ST

    MIAMI, FL 331616667

    Phone: (786) 355-6470

    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: 2025-05-13

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
I20250513001950INurse 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 33161)

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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: 3274989520View full group profile
NameSpecialtyState
Mental Health CounselorFL
General PracticeFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm TATIANA RONDON LEYVA (FNP)'s NPI?
Yes. TATIANA RONDON LEYVA (FNP) is listed with NPI 1104635051 in the public NPI dataset.
Is TATIANA RONDON LEYVA (FNP) still practicing?
TATIANA RONDON LEYVA (FNP) is currently listed as active in the public NPI registry.
What healthcare role does TATIANA RONDON LEYVA (FNP) hold?
Scheduling teams often label TATIANA RONDON LEYVA (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is TATIANA RONDON LEYVA (FNP) based?
TATIANA RONDON LEYVA (FNP) is tied to Miami, Florida in the data we show; additional addresses may exist on the full record.
Is the information about TATIANA RONDON LEYVA (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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