LAZARO A. LEON – Nurse Practitioner, NPI 1124605571

LAZARO A. LEON is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11014564 (FL). The NPI Number for LAZARO A. LEON is 1124605571

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
LAZARO A. LEON
NPI
1124605571
Phone
(786) 655-3394
Address
2821 NW 106TH ST
Enumeration Date
24 March 2021
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7863605625
Graduation Year
2021 (5 years ago)
PAC ID
3476994799
Group Practice PAC ID
7214287572
Professional Enrollment ID
I20240516003202
Address ID
FL331504543MI180XXSTXX400
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

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LAZARO A. LEON

  • 2821 NW 106TH ST

    MIAMI, FL 331471647

    Phone: (786) 655-3394

    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: 2024-05-16

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
I20240516003202INurse 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 33147)

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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: 7214287572View full group profile
NameSpecialtyState
Nurse PractitionerFL
Psychiatry, Internal MedicineFL
General PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to LAZARO A. LEON?
NPI 1124605571 is assigned to LAZARO A. LEON under the national enumeration system.
Is LAZARO A. LEON currently active in the NPI registry?
CMS-published data lists LAZARO A. LEON as an active registrant.
What field does LAZARO A. LEON work in?
You can think of LAZARO A. LEON as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LAZARO A. LEON's primary listing?
We display Miami, Florida because that is what the record indicates for LAZARO A. LEON.
What if Miami, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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