BELEN A BOHORQUEZ (PA) – Physician Assistant, NPI 1245059146

BELEN A BOHORQUEZ (PA) is a healthcare provider. based in Deltona, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PAT9119732 (FL). The NPI Number for BELEN A BOHORQUEZ (PA) is 1245059146

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
BELEN A BOHORQUEZ (PA)
NPI
1245059146
Phone
(407) 818-3154
Address
929 Treadway Dr
Enumeration Date
8 October 2024
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
0749701001
Group Practice PAC ID
4284714189
Professional Enrollment ID
I20250304001301
Address ID
FL344715519Oc2750XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for BELEN A BOHORQUEZ (PA)

  • 929 Treadway Dr

    Deltona, FL 327387941

    Phone: (407) 818-3154

    Type: Location

  • 929 TREADWAY DR

    DELTONA, FL 327387941

    Phone: (407) 818-3154

    Type: Mailing

  • 2723 SE MARICAMP RD

    OCALA, FL 344715537

    Phone: (352) 732-7779

    Fax: (352) 732-2664

    Type: Location

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: 2025-03-04

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
I20250304001301IPhysician 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 32738)

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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: 4284714189View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Nurse PractitionerFL
D E R M A T O L O G YFL
Dermatology, PathologyFL

Reviews

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Frequently asked questions

Is there an official ID for BELEN A BOHORQUEZ (PA) in U.S. healthcare records?
The official identifier for BELEN A BOHORQUEZ (PA) is NPI 1245059146.
Active or inactive — what applies to BELEN A BOHORQUEZ (PA)?
You should see BELEN A BOHORQUEZ (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to BELEN A BOHORQUEZ (PA)?
BELEN A BOHORQUEZ (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is BELEN A BOHORQUEZ (PA) registered?
Use Deltona, Florida as the headline location for BELEN A BOHORQUEZ (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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