YENISLEN GUTIERREZ VERGEL (APRN) – Nurse Practitioner, NPI 1356919773

YENISLEN GUTIERREZ VERGEL (APRN) is a healthcare provider. based in Fort lauderdale, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN9428518 (FL). The NPI Number for YENISLEN GUTIERREZ VERGEL (APRN) is 1356919773

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
YENISLEN GUTIERREZ VERGEL (APRN)
NPI
1356919773
Phone
(954) 251-3454
Address
4101 Ravenswood Rd
Enumeration Date
13 June 2021
Last Update Date
28 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055872747
Graduation Year
2018 (8 years ago)
PAC ID
8325488398
Group Practice PAC ID
7214316868
Professional Enrollment ID
I20240425000041
Address ID
FL331444184MI6400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for YENISLEN GUTIERREZ VERGEL (APRN)

  • 4101 Ravenswood Rd

    Fort Lauderdale, FL 333125373

    Phone: (954) 251-3454

    Type: Location

  • 2328 S CONGRESS AVE STE 1E

    PALM SPRINGS, FL 334067671

    Phone: (407) 485-2182

    Type: Mailing

  • 8922 NW 10TH ST

    PEMBROKE PINES, FL 330244617

    Phone: (407) 485-2182

    Type: Mailing

  • 4101 RAVENSWOOD RD STE 202

    FORT LAUDERDALE, FL 333125301

    Phone: (407) 485-2182

    Type: Mailing

  • 1800 N DOUGLAS RD

    PEMBROKE PINES, FL 330243200

    Phone: (305) 204-0333

    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: 2024-04-25

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
I20240425000041INurse 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 33312)

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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: 7214316868View full group profile
NameSpecialtyState
General PracticeFL
Family PracticePR
General PracticeFL
Nurse PractitionerFL
Internal MedicineFL
General PracticeFL
Nurse PractitionerFL
General PracticeFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify YENISLEN GUTIERREZ VERGEL (APRN) with an NPI only?
You can start verification with NPI 1356919773 for YENISLEN GUTIERREZ VERGEL (APRN), then check state licensing separately.
Can I rely on YENISLEN GUTIERREZ VERGEL (APRN) being an active provider?
As of the registry snapshot, YENISLEN GUTIERREZ VERGEL (APRN) is marked active.
What healthcare role does YENISLEN GUTIERREZ VERGEL (APRN) hold?
Scheduling teams often label YENISLEN GUTIERREZ VERGEL (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is YENISLEN GUTIERREZ VERGEL (APRN) based?
YENISLEN GUTIERREZ VERGEL (APRN) is tied to Fort Lauderdale, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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