PAUL J PUPO (APRN, FNP-BC) – Family Nurse Practitioner, NPI 1144084195

PAUL J PUPO (APRN, FNP-BC) is a healthcare provider. based in North miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. 10015736 (OR). The NPI Number for PAUL J PUPO (APRN, FNP-BC) is 1144084195

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PAUL J PUPO (APRN, FNP-BC)
NPI
1144084195
Phone
(305) 538-8835
Address
11645 BISCAYNE BLVD STE 207
Enumeration Date
9 February 2024
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3058544400
Graduation Year
2021 (5 years ago)
PAC ID
6901338771
Group Practice PAC ID
1456455021
Professional Enrollment ID
I20241017002556
Address ID
FL331753530MI11750STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for PAUL J PUPO (APRN, FNP-BC)

  • 11645 BISCAYNE BLVD STE 207

    NORTH MIAMI, FL 331813138

    Phone: (305) 538-8835

    Fax: (305) 994-0054

    Type: Mailing

  • 11645 BISCAYNE BLVD STE 302-304

    NORTH MIAMI, FL 331813155

    Phone: (305) 538-8835

    Fax: (305) 994-0054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ViiV Healthcare Company ($31).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2024-10-17

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
I20241017002556INurse 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 33181)

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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: 1456455021View full group profile
NameSpecialtyState
General SurgeryIA
-FL
Nurse PractitionerFL
Nurse PractitionerGA
Vascular SurgeryFL
General SurgeryFL
Nurse PractitionerFL
Colorectal Surgery (Proctology), General SurgeryFL
Nurse PractitionerFL
Surgical OncologyFL

Reviews

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Frequently asked questions

Is PAUL J PUPO (APRN, FNP-BC) listed with a National Provider Identifier?
Yes — PAUL J PUPO (APRN, FNP-BC) has NPI 1144084195 on file in the registry.
Is there an active status for PAUL J PUPO (APRN, FNP-BC)?
For scheduling context, PAUL J PUPO (APRN, FNP-BC) is shown as active in the registry.
What area of care is associated with PAUL J PUPO (APRN, FNP-BC)?
PAUL J PUPO (APRN, FNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAUL J PUPO (APRN, FNP-BC)?
Travel planning: use North Miami, Florida as the reference point for PAUL J PUPO (APRN, FNP-BC), then confirm.
When was this NPI issued?
Enumeration for PAUL J PUPO (APRN, FNP-BC) is noted as February 9, 2024 where the registry provides it.

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