MS. ESTELITA BOHOLST DALISAY (APRN-C) – Nurse Practitioner, NPI 1366846297
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MS. ESTELITA BOHOLST DALISAY (APRN-C)
400 Avenue K SE Ste 11
Winter Haven, FL 338804145
Phone: (863) 294-4404
Fax: (863) 294-1059
Type: Location
2028 US Highway 92 W
Auburndale, FL 338233921
Phone: (863) 965-9327
Fax: (863) 229-7512
Type: Location
2995 DREW ST FL 2
CLEARWATER, FL 337593012
Phone: (863) 294-4404
Fax: (863) 294-1059
Type: Mailing
36245 US HWY 27 N
HAINES CITY, FL 338443744
Phone: (863) 421-9801
Type: Location
36245 HWY 27
HAINES CITY, FL 338443744
Phone: (863) 421-9801
Fax: (863) 229-7513
Type: Location
400 AVENUE K SE STE 11
WINTER HAVEN, FL 338804145
Phone: (863) 294-4404
Fax: (863) 294-1059
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $955.
Total Amount is formed as General ($955) + Research ($0) + Ownership ($0) = $955.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Exact Sciences Corporation ($177).
Total Amount
$955
General + Research + Ownership
Payments
48
Total payment records
General Amount
$955
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $177 |
| GlaxoSmithKline, LLC. | $166 |
| Abbott Laboratories | $139 |
| Lilly USA, LLC | $86 |
| Bayer Healthcare Pharmaceuticals Inc. | $81 |
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: 2015-02-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150223000773 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 75 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 83036 | Hemoglobin a1c level | 33 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
Insurance plans in this area (ZIP 33880)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
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