AMARALYS PABLO (NP) – Family Nurse Practitioner, NPI 1174199764
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for AMARALYS PABLO (NP)
120 Hicksville Rd
Bethpage, NY 117143443
Phone: (516) 717-1839
Type: Location
120 HICKSVILLE RD
BETHPAGE, NY 117143443
Phone: (516) 717-1839
Type: Location
1555 WESTCHESTER AVE
BRONX, NY 104722910
Phone: (718) 765-6367
Type: Location
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: 2021-06-07
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 |
|---|---|---|---|---|
| I20210607000383 | I | Nurse Practitioner | NY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 41 | 20 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 18 | 18 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 11714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Family Practice | NY | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NY | |
| - | NY | |
| Clinical Social Worker | TX | |
| Family Practice | NY | |
| Physician Assistant | CT | |
| Physician Assistant | NY | |
| - | NY |
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