ELIZABETH PERDOMO – Nurse Practitioner, NPI 1427433572

ELIZABETH PERDOMO is a healthcare provider. based in Boca raton, Florida. specializing in NURSE PRACTITIONER. They hold a License No. ARNP 3392762 (FL). The NPI Number for ELIZABETH PERDOMO is 1427433572

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH PERDOMO
NPI
1427433572
Phone
(561) 479-2305
Address
20889 ENCANTO CT
Enumeration Date
29 July 2015
Last Update Date
29 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613477400
Graduation Year
2015 (11 years ago)
PAC ID
7012212541
Group Practice PAC ID
3173756822
Professional Enrollment ID
I20160222001904
Address ID
FL334862346BO801XXRDXX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ELIZABETH PERDOMO

  • 20889 ENCANTO CT

    BOCA RATON, FL 334331702

    Phone: (561) 479-2305

    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 140 Open Payments records for all available years, with a total value of $3,763.

Total Amount is formed as General ($3,763) + Research ($0) + Ownership ($0) = $3,763.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,212).

Total Amount

$3,763

General + Research + Ownership

Payments

140

Total payment records

General Amount

$3,763

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: 2016-02-22

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
I20160222001904INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes212189$0
99204New patient office or other outpatient visit, 45-59 minutes7373$0
99214Established patient office or other outpatient visit, 30-39 minutes5348$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 33433)

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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: 3173756822View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

Can I verify ELIZABETH PERDOMO with an NPI only?
You can start verification with NPI 1427433572 for ELIZABETH PERDOMO, then check state licensing separately.
Is ELIZABETH PERDOMO listed as active for patients and plans?
The listing shows ELIZABETH PERDOMO as active in the NPI system.
What taxonomy line describes ELIZABETH PERDOMO?
For research purposes, treat ELIZABETH PERDOMO as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZABETH PERDOMO on a map?
Expect Boca Raton, Florida as a primary anchor for ELIZABETH PERDOMO unless the record lists multiple sites.
Why does ELIZABETH PERDOMO 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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