LORENZO HARRISON CALZADILLA – Adult Health Nurse Practitioner, NPI 1558234211

LORENZO HARRISON CALZADILLA is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11042573 (FL). The NPI Number for LORENZO HARRISON CALZADILLA is 1558234211

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
LORENZO HARRISON CALZADILLA
NPI
1558234211
Phone
(321) 369-8170
Address
2715 BOSQUE CIR APT 108
Enumeration Date
27 September 2025
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213683862
Graduation Year
2025 (1 year ago)
PAC ID
2860981487
Group Practice PAC ID
3375600612
Professional Enrollment ID
I20251101000167
Address ID
FL329225722CO2428XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for LORENZO HARRISON CALZADILLA

  • 2715 BOSQUE CIR APT 108

    MELBOURNE, FL 329403205

    Phone: (321) 369-8170

    Type: Mailing

  • 251 E FLORIDA AVE

    MELBOURNE, FL 329018303

    Phone: (321) 369-8170

    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: 2025-11-01

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
I20251101000167INurse 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 32940)

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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: 3375600612View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Infectious Disease, Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for LORENZO HARRISON CALZADILLA in U.S. healthcare records?
The official identifier for LORENZO HARRISON CALZADILLA is NPI 1558234211.
Is there an active status for LORENZO HARRISON CALZADILLA?
For scheduling context, LORENZO HARRISON CALZADILLA is shown as active in the registry.
What clinical focus is listed for LORENZO HARRISON CALZADILLA?
At a glance, LORENZO HARRISON CALZADILLA is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LORENZO HARRISON CALZADILLA?
Travel planning: use Melbourne, Florida as the reference point for LORENZO HARRISON CALZADILLA, then confirm.
Does LORENZO HARRISON CALZADILLA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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