CARLA D FUENTES-BLANCO (ARNP) – Nurse Practitioner, NPI 1972816056
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for CARLA D FUENTES-BLANCO (ARNP)
601 S HARBOUR ISLAND BLVD STE 200
TAMPA, FL 336025925
Phone: (727) 322-3439
Type: Mailing
20 E MELBOURNE AVE STE 101
MELBOURNE, FL 329015970
Phone: (321) 312-1167
Fax: (321) 312-1201
Type: Location
2400 N ORANGE BLOSSOM TRL STE 302
KISSIMMEE, FL 347442308
Phone: (407) 932-6193
Fax: (407) 932-6191
Type: Mailing
3505 PROGRESS LANE STEVENS PLANTATION
ST. CLOUD, FL 34769
Phone: (855) 226-6633
Fax: (866) 285-7068
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $474.
Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Ardelyx, Inc. ($220).
Total Amount
$474
General + Research + Ownership
Payments
8
Total payment records
General Amount
$474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ardelyx, Inc. | $220 |
| Medtronic, Inc. | $158 |
| Olympus America Inc. | $28 |
| Amgen Inc. | $27 |
| Inari Medical, Inc. | $26 |
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: 2012-06-06
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 |
|---|---|---|---|---|
| I20120606000420 | 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 33602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| General Practice | FL | |
| General Practice | FL | |
| Physician Assistant | FL | |
| General Practice | FL | |
| General Practice, Family Practice | FL | |
| Family Practice | FL | |
| - | FL |
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