BIANCA T VEGA (PA-C) – Physician Assistant, NPI 1124174511

BIANCA T VEGA (PA-C) is a healthcare provider. based in Fort lauderdale, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9104015 (FL). The NPI Number for BIANCA T VEGA (PA-C) is 1124174511

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
BIANCA T VEGA (PA-C)
NPI
1124174511
Phone
(954) 458-1199
Address
1345 NE 4TH AVE
Enumeration Date
26 January 2007
Last Update Date
3 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548368980
Graduation Year
2006 (20 years ago)
PAC ID
3577880517
Group Practice PAC ID
0547237497
Professional Enrollment ID
I20150331002396
Address ID
FL333083767FT1817XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for BIANCA T VEGA (PA-C)

  • 1345 NE 4TH AVE

    FORT LAUDERDALE, FL 333041031

    Phone: (954) 458-1199

    Type: Location

  • 21110, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States

    SUITE 308

    AVENTURA, FL 331801227

    Phone: (305) 932-1007

    Fax: (305) 696-6225

    Type: Location

  • 11020, Northwest 17th Court, Pembroke Pines, Broward County, Florida, 33026, United States

    PEMBROKE PINES, FL 330262206

    Phone: (954) 450-2883

    Type: Mailing

  • 220 SW 84TH AVE STE 102

    PLANTATION, FL 333242729

    Phone: (954) 720-1530

    Fax: (954) 720-6540

    Type: Location

  • 1608 TOWN CENTER BLVD STE A

    WESTON, FL 333263639

    Phone: (305) 218-6965

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $3,282.

Total Amount is formed as General ($3,282) + Research ($0) + Ownership ($0) = $3,282.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($1,826).

Total Amount

$3,282

General + Research + Ownership

Payments

87

Total payment records

General Amount

$3,282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-03-31

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
I20150331002396IPhysician AssistantFLTBD

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 33304)

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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: 0547237497View full group profile
NameSpecialtyState
Physician AssistantGA
Orthopedic SurgeryFL
Orthopedic SurgeryIL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Orthopedic SurgeryFL
Sports Medicine, Internal MedicineGA
Orthopedic SurgeryFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the registry number for BIANCA T VEGA (PA-C)?
The registry entry for BIANCA T VEGA (PA-C) shows NPI 1124174511.
Is BIANCA T VEGA (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists BIANCA T VEGA (PA-C) as active.
Which specialty label fits BIANCA T VEGA (PA-C)?
NPPES ties BIANCA T VEGA (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BIANCA T VEGA (PA-C)?
The directory associates BIANCA T VEGA (PA-C) with Fort Lauderdale, Florida. Check all listed addresses for suites or satellite offices.
Can I export BIANCA T VEGA (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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