CAROLYN ELIZABETH TRUJILLO (APRN) – Acute Care Nurse Practitioner, NPI 1336843473

CAROLYN ELIZABETH TRUJILLO (APRN) is a healthcare provider. based in Cooper city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 9461293 (FL). The NPI Number for CAROLYN ELIZABETH TRUJILLO (APRN) is 1336843473

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN ELIZABETH TRUJILLO (APRN)
NPI
1336843473
Phone
(786) 774-9482
Address
11269 SW 58TH CT
Enumeration Date
30 March 2023
Last Update Date
22 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2023 (3 years ago)
PAC ID
5991241457
Group Practice PAC ID
6305849449
Professional Enrollment ID
I20240722001283
Address ID
FL331762118MI8900XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for CAROLYN ELIZABETH TRUJILLO (APRN)

  • 11269 SW 58TH CT

    COOPER CITY, FL 333304520

    Phone: (786) 774-9482

    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)

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: 2024-07-22

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
I20240722001283INurse 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 33330)

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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: 6305849449View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineLA
Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does CAROLYN ELIZABETH TRUJILLO (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CAROLYN ELIZABETH TRUJILLO (APRN) uses 1336843473.
Is CAROLYN ELIZABETH TRUJILLO (APRN) listed as active for patients and plans?
The listing shows CAROLYN ELIZABETH TRUJILLO (APRN) as active in the NPI system.
What taxonomy line describes CAROLYN ELIZABETH TRUJILLO (APRN)?
For research purposes, treat CAROLYN ELIZABETH TRUJILLO (APRN) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is CAROLYN ELIZABETH TRUJILLO (APRN) based?
CAROLYN ELIZABETH TRUJILLO (APRN) is tied to Cooper City, Florida in the data we show; additional addresses may exist on the full record.
Is the information about CAROLYN ELIZABETH TRUJILLO (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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