LENNIS BEJARANO (CAA) – Anesthesiologist Assistant, NPI 1255013629

LENNIS BEJARANO (CAA) is a healthcare provider. based in Fort lauderdale, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. AA844 (FL). The NPI Number for LENNIS BEJARANO (CAA) is 1255013629

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LENNIS BEJARANO (CAA)
NPI
1255013629
Phone
Not provided
Address
1525 W CYPRESS CREEK RD
Enumeration Date
3 August 2023
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2019 (7 years ago)
PAC ID
7719341023
Group Practice PAC ID
1153385612
Professional Enrollment ID
I20230919002753
Address ID
FL335588005LU4211XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for LENNIS BEJARANO (CAA)

  • 1525 W CYPRESS CREEK RD

    FORT LAUDERDALE, FL 33309

    Phone:

    Type: Mailing

  • 4211 VAN DYKE RD

    LUTZ, FL 335588005

    Phone: (813) 443-7000

    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: 2023-09-19

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
I20230919002753IAnesthesiology 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 33309)

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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: 1153385612View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
A N E S T H E S I O L O G YFL
-FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

How is LENNIS BEJARANO (CAA) identified in CMS data?
CMS-hosted NPPES data lists LENNIS BEJARANO (CAA) with NPI 1255013629.
Can I rely on LENNIS BEJARANO (CAA) being an active provider?
As of the registry snapshot, LENNIS BEJARANO (CAA) is marked active.
What is LENNIS BEJARANO (CAA)'s specialty?
The listing groups LENNIS BEJARANO (CAA) with Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for LENNIS BEJARANO (CAA)?
LENNIS BEJARANO (CAA)'s geographic hint is Fort Lauderdale, Florida in our summary view.
Why does LENNIS BEJARANO (CAA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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