LESLLY JOHANA PRADO RUBI (APRN) – Family Nurse Practitioner, NPI 1255141305

LESLLY JOHANA PRADO RUBI (APRN) is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11006079 (FL). The NPI Number for LESLLY JOHANA PRADO RUBI (APRN) is 1255141305

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
LESLLY JOHANA PRADO RUBI (APRN)
NPI
1255141305
Phone
Not provided
Address
3992 SW 136TH AVE
Enumeration Date
10 January 2025
Last Update Date
15 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3528578417
Graduation Year
2018 (8 years ago)
PAC ID
1153832662
Group Practice PAC ID
4284923467
Professional Enrollment ID
I20250612002481
Address ID
FL344714620OC1720XAVEX412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LESLLY JOHANA PRADO RUBI (APRN)

  • 3992 SW 136TH AVE

    MIAMI, FL 331753231

    Phone:

    Type: Mailing

  • 47 SW 17TH ST

    OCALA, FL 344718104

    Phone: (352) 512-9996

    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: 2025-06-12

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
I20250612002481INurse 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 33175)

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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: 4284923467View full group profile

Reviews

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Frequently asked questions

What is the registry number for LESLLY JOHANA PRADO RUBI (APRN)?
The registry entry for LESLLY JOHANA PRADO RUBI (APRN) shows NPI 1255141305.
Does the public listing show LESLLY JOHANA PRADO RUBI (APRN) as active?
LESLLY JOHANA PRADO RUBI (APRN)'s NPI record reflects an active status in NPPES.
How should patients interpret LESLLY JOHANA PRADO RUBI (APRN)'s specialty?
The extract shows Family Nurse Practitioner for LESLLY JOHANA PRADO RUBI (APRN). Clinical services aligned with this taxonomy classification.
Is LESLLY JOHANA PRADO RUBI (APRN) tied to Miami, Florida?
If you are local to Miami, Florida, LESLLY JOHANA PRADO RUBI (APRN) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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