BIANCA IGLESIAS (PA-C) – Physician Assistant, NPI 1629463088

BIANCA IGLESIAS (PA-C) is a healthcare provider. based in Mangonia park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 52266 (CA). The NPI Number for BIANCA IGLESIAS (PA-C) is 1629463088

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BIANCA IGLESIAS (PA-C)
NPI
1629463088
Phone
Not provided
Address
993 45TH ST
Enumeration Date
2 April 2015
Last Update Date
31 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055400279
Graduation Year
2014 (12 years ago)
PAC ID
9234428822
Group Practice PAC ID
6204356660
Professional Enrollment ID
I20190627002877
Address ID
CA937202988FR7067XSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for BIANCA IGLESIAS (PA-C)

  • 993 45TH ST

    MANGONIA PARK, FL 334072413

    Phone:

    Type: Mailing

  • 1035 PEACH ST

    SUITE 201

    SAN LUIS OBISPO, CA 934012700

    Phone: (805) 540-0279

    Type: Location

  • PO BOX 14209

    SAN LUIS OBISPO, CA 934064209

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Alkermes, Inc. ($74).

Total Amount

$115

General + Research + Ownership

Payments

5

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190627002877IPhysician AssistantCATBD
I20220926003798IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8221$0
99238Hospital discharge day management, 30 minutes or less2219$0
View full utilization report →

Insurance plans in this area (ZIP 33407)

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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: 6204356660View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerNV
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is BIANCA IGLESIAS (PA-C) identified in CMS data?
CMS-hosted NPPES data lists BIANCA IGLESIAS (PA-C) with NPI 1629463088.
Can I rely on BIANCA IGLESIAS (PA-C) being an active provider?
As of the registry snapshot, BIANCA IGLESIAS (PA-C) is marked active.
What is BIANCA IGLESIAS (PA-C) best known for clinically?
Directory data describes BIANCA IGLESIAS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BIANCA IGLESIAS (PA-C) based?
BIANCA IGLESIAS (PA-C) is tied to Mangonia Park, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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