DEBERLY M ANZUETO (PA) – Physician Assistant, NPI 1578277877

DEBERLY M ANZUETO (PA) is a healthcare provider. based in Arcadia, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 9116948 (FL). The NPI Number for DEBERLY M ANZUETO (PA) is 1578277877

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DEBERLY M ANZUETO (PA)
NPI
1578277877
Phone
Not provided
Address
819 N MILLS AVE
Enumeration Date
11 January 2023
Last Update Date
11 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8634912277
Graduation Year
2023 (3 years ago)
PAC ID
8628443629
Group Practice PAC ID
4587077409
Professional Enrollment ID
I20230405000122
Address ID
FL342668716AR819XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DEBERLY M ANZUETO (PA)

  • 819 N MILLS AVE

    ARCADIA, FL 342668716

    Phone:

    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 17 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($194).

Total Amount

$463

General + Research + Ownership

Payments

17

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2023-04-05

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
I20230405000122IPhysician AssistantFLTBD

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 34266)

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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: 4587077409View full group profile
NameSpecialtyState
Physician AssistantFL

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Frequently asked questions

What is the standard ID for DEBERLY M ANZUETO (PA) in the U.S.?
In the U.S., DEBERLY M ANZUETO (PA) is identified by NPI 1578277877.
Is DEBERLY M ANZUETO (PA)'s NPI status active today?
Active status means DEBERLY M ANZUETO (PA)'s NPI record is not deactivated in the public file.
What does the directory say DEBERLY M ANZUETO (PA) does?
Insurance directories may phrase it differently, but here DEBERLY M ANZUETO (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to DEBERLY M ANZUETO (PA)?
The directory associates DEBERLY M ANZUETO (PA) with Arcadia, Florida. Check all listed addresses for suites or satellite offices.
Can I export DEBERLY M ANZUETO (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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