ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) – Acute Care Nurse Practitioner, NPI 1669003174

ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) is a healthcare provider. based in Orlando, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11005651 (FL). The NPI Number for ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) is 1669003174

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN)
NPI
1669003174
Phone
(941) 917-2600
Address
PO BOX 863407
Enumeration Date
3 February 2020
Last Update Date
17 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419177760
Graduation Year
2019 (7 years ago)
PAC ID
1759788540
Group Practice PAC ID
1355240177
Professional Enrollment ID
I20210921002819
Address ID
FL342393509SA1700XTRLX400

Contacts

Main Contact
yunyo55@gmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

24,243 NURSE PRACTITIONER in FL

Provider Addresses for ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN)

  • PO BOX 863407

    ORLANDO, FL 328863407

    Phone: (941) 917-2600

    Fax: (941) 917-7884

    Type: Mailing

  • 1700 S TAMIAMI TRL

    SARASOTA, FL 342393509

    Phone: (941) 917-4896

    Fax: (941) 917-6884

    Type: Location

  • 4513 COKER RD

    NORTH PORT, FL 342866021

    Phone: (941) 276-7685

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $772.

Total Amount is formed as General ($772) + Research ($0) + Ownership ($0) = $772.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($674).

Total Amount

$772

General + Research + Ownership

Payments

10

Total payment records

General Amount

$772

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2021-09-21

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
I20210921002819INurse 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 32886)

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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: 1355240177View full group profile
NameSpecialtyState
Critical Care (Intensivists)FL
N E U R O L O G YFL
General SurgeryFL
-FL
-FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) identified in CMS data?
CMS-hosted NPPES data lists ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) with NPI 1669003174.
Is ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) listed as active for patients and plans?
The listing shows ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) as active in the NPI system.
What is ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) best known for clinically?
Directory data describes ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) list a practice location?
Patients near Orlando, Florida may find ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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