MILCAH GRACE S CACULITAN (FNP) – Family Nurse Practitioner, NPI 1306279807

MILCAH GRACE S CACULITAN (FNP) is a healthcare provider. based in Lake wales, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. ARNP3193432 (FL). The NPI Number for MILCAH GRACE S CACULITAN (FNP) is 1306279807

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MILCAH GRACE S CACULITAN (FNP)
NPI
1306279807
Phone
(863) 676-6386
Address
1120 CARLTON AVE
Enumeration Date
20 August 2013
Last Update Date
20 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8636766386
Graduation Year
2012 (14 years ago)
PAC ID
2668606575
Group Practice PAC ID
1153600929
Professional Enrollment ID
I20131009000090
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MILCAH GRACE S CACULITAN (FNP)

  • 1120 CARLTON AVE

    SUITE 1300

    LAKE WALES, FL 338534348

    Phone: (863) 676-6386

    Fax: (863) 676-6452

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $2,929.

Total Amount is formed as General ($2,929) + Research ($0) + Ownership ($0) = $2,929.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CVRx, Inc. ($310).

Total Amount

$2,929

General + Research + Ownership

Payments

96

Total payment records

General Amount

$2,929

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2013-10-09

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
I20131009000090INurse 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 33853)

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Reviews

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Frequently asked questions

How is MILCAH GRACE S CACULITAN (FNP) identified in CMS data?
CMS-hosted NPPES data lists MILCAH GRACE S CACULITAN (FNP) with NPI 1306279807.
Can I rely on MILCAH GRACE S CACULITAN (FNP) being an active provider?
As of the registry snapshot, MILCAH GRACE S CACULITAN (FNP) is marked active.
What is MILCAH GRACE S CACULITAN (FNP) best known for clinically?
Directory data describes MILCAH GRACE S CACULITAN (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MILCAH GRACE S CACULITAN (FNP)?
MILCAH GRACE S CACULITAN (FNP)'s geographic hint is Lake Wales, Florida in our summary view.
Why does MILCAH GRACE S CACULITAN (FNP) 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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