SERGIO ENRIQUE PEDRAZA – Family Nurse Practitioner, NPI 1366185241

SERGIO ENRIQUE PEDRAZA is a healthcare provider. based in Tampa, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 2021096609 (FL). The NPI Number for SERGIO ENRIQUE PEDRAZA is 1366185241

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SERGIO ENRIQUE PEDRAZA
NPI
1366185241
Phone
(813) 863-6737
Address
14214 PONDHAWK LN
Enumeration Date
18 April 2022
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274893305
Graduation Year
2021 (5 years ago)
PAC ID
1153708870
Group Practice PAC ID
5193962173
Professional Enrollment ID
I20220519000407
Address ID
FL337703268LA801XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for SERGIO ENRIQUE PEDRAZA

  • 14214 PONDHAWK LN

    TAMPA, FL 336253207

    Phone: (813) 863-6737

    Type: Mailing

  • 801 W BAY DR STE 605

    LARGO, FL 337703268

    Phone: (727) 489-3305

    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: 2022-05-19

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
I20220519000407INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,710250$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes46033$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes20194$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes184159$0
99316Nursing facility discharge management, more than 30 minutes124114$0
View full utilization report →

Insurance plans in this area (ZIP 33625)

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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: 5193962173View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Hospice/Palliative Care, Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Is there an official ID for SERGIO ENRIQUE PEDRAZA in U.S. healthcare records?
The official identifier for SERGIO ENRIQUE PEDRAZA is NPI 1366185241.
Is there an active status for SERGIO ENRIQUE PEDRAZA?
For scheduling context, SERGIO ENRIQUE PEDRAZA is shown as active in the registry.
How would a patient describe SERGIO ENRIQUE PEDRAZA's focus?
For SERGIO ENRIQUE PEDRAZA, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SERGIO ENRIQUE PEDRAZA?
Travel planning: use Tampa, Florida as the reference point for SERGIO ENRIQUE PEDRAZA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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