NATACCIA HENRY – Acute Care Nurse Practitioner, NPI 1720693450

NATACCIA HENRY is a healthcare provider. based in Cutler bay, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11008136 (FL). The NPI Number for NATACCIA HENRY is 1720693450

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NATACCIA HENRY
NPI
1720693450
Phone
(786) 762-6931
Address
21929 SW 93RD PL
Enumeration Date
10 September 2020
Last Update Date
18 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548446825
Graduation Year
2020 (6 years ago)
PAC ID
5890107031
Group Practice PAC ID
8123927373
Professional Enrollment ID
I20201214000557
Address ID
FL330281009PE601XXRDXX409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NATACCIA HENRY

  • 21929 SW 93RD PL

    CUTLER BAY, FL 331901231

    Phone: (786) 762-6931

    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)

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: 2020-12-14

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
I20201214000557INurse 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 33190)

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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: 8123927373View full group profile

Reviews

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Frequently asked questions

What is NATACCIA HENRY's NPI number?
NATACCIA HENRY's NPI is 1720693450 — the number used across U.S. healthcare to identify this provider.
Is NATACCIA HENRY still an active registrant?
NATACCIA HENRY carries an active NPI according to the public dataset.
How would a patient describe NATACCIA HENRY's focus?
For NATACCIA HENRY, the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NATACCIA HENRY located near Cutler Bay?
NATACCIA HENRY currently maps to Cutler Bay, Florida in this extract.
When was this NPI issued?
Enumeration for NATACCIA HENRY is noted as September 10, 2020 where the registry provides it.

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