ALEXEIS GARCIA TAMAYO (APRN) – Family Nurse Practitioner, NPI 1770903791

ALEXEIS GARCIA TAMAYO (APRN) is a healthcare provider. based in Princeton, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11015572 (FL). The NPI Number for ALEXEIS GARCIA TAMAYO (APRN) is 1770903791

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ALEXEIS GARCIA TAMAYO (APRN)
NPI
1770903791
Phone
(786) 307-5085
Address
24901 SW 134 CT APT 6
Enumeration Date
17 April 2014
Deactivation Date
24 September 2021
Reactivation Date
20 October 2021
Last Update Date
20 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3059607900
Graduation Year
2021 (5 years ago)
PAC ID
6800287467
Group Practice PAC ID
9133505233
Professional Enrollment ID
I20211216000036
Address ID
FL331761551MI10691DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for ALEXEIS GARCIA TAMAYO (APRN)

  • 24901 SW 134 CT APT 6

    PRINCETON, FL 33032

    Phone: (786) 307-5085

    Type: Mailing

  • 4343 W FLAGLER ST

    100

    CORAL GABLES, FL 331341586

    Phone: (305) 774-9570

    Type: Location

  • 25217 SW 114TH AVE

    HOMESTEAD, FL 330326330

    Phone: (786) 307-5085

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Exact Sciences Corporation ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

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: 2021-12-16

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
I20211216000036INurse 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 33032)

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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: 9133505233View full group profile
NameSpecialtyState
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is ALEXEIS GARCIA TAMAYO (APRN) listed with a National Provider Identifier?
Yes — ALEXEIS GARCIA TAMAYO (APRN) has NPI 1770903791 on file in the registry.
Is ALEXEIS GARCIA TAMAYO (APRN) shown as active in public data?
Registry records indicate ALEXEIS GARCIA TAMAYO (APRN) maintains an active NPI.
What kind of doctor is ALEXEIS GARCIA TAMAYO (APRN)?
ALEXEIS GARCIA TAMAYO (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is ALEXEIS GARCIA TAMAYO (APRN) located near Princeton?
ALEXEIS GARCIA TAMAYO (APRN) currently maps to Princeton, Florida in this extract.
When was this NPI issued?
Enumeration for ALEXEIS GARCIA TAMAYO (APRN) is noted as April 17, 2014 where the registry provides it.

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