ISRAEL EDUARDO CARRASQUILLO - CRUZ (APRN) – Acute Care Nurse Practitioner, NPI 1669003174
Acute Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $674 |
| Bayer Healthcare Pharmaceuticals Inc. | $99 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210921002819 | I | Nurse Practitioner | FL | TBD |
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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | FL | |
| N E U R O L O G Y | FL | |
| General Surgery | FL | |
| - | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | FL | |
| Nurse Practitioner | FL |
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