MARIA IMELDA MATONDO BAGUIA (ARNP) – Gerontology Nurse Practitioner, NPI 1194180828
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARIA IMELDA MATONDO BAGUIA (ARNP)
4421 Sun N Lake Blvd
Suite B
Sebring, FL 338722166
Phone: (863) 382-9600
Fax: (863) 382-0107
Type: Location
913 Washington St
Calistoga, CA 94515
Phone: (707) 942-6233
Type: Location
632 BROADWAY, PH
NEW YORK, NY 10012
Phone: (800) 731-4254
Type: Location
64 BLEECKER ST # 151
NEW YORK, NY 100122410
Phone: (800) 731-4254
Type: Mailing
913 WASHINGTON ST
CALISTOGA, CA 945151433
Phone:
Type: Mailing
632 Broadway, PH
New York, NY 10012
Phone: (800) 731-4254
Type: Location
410 CELEBRATION PL STE 103
CELEBRATION, FL 347475432
Phone: (407) 303-4655
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Lilly USA, LLC ($114).
Total Amount
$114
General + Research + Ownership
Payments
1
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $114 |
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: 2016-04-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160428000245 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 84 | $0 |
| 81003 | Automated urinalysis test | 16 | 15 | $0 |
Insurance plans in this area (ZIP 33872)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Internal Medicine | CA |
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