ATHENA FLORES (NP) – Registered Nurse, NPI 1164024030

ATHENA FLORES (NP) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APRN11010362 (FL). The NPI Number for ATHENA FLORES (NP) is 1164024030

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ATHENA FLORES (NP)
NPI
1164024030
Phone
(901) 436-1381
Address
50 S B B KING BLVD STE 100
Enumeration Date
14 November 2020
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278964615
Graduation Year
2020 (6 years ago)
PAC ID
9234679150
Group Practice PAC ID
1557274107
Professional Enrollment ID
I20250310003506
Address ID
FL337101536ST6707XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:5State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for ATHENA FLORES (NP)

  • 50 S B B KING BLVD STE 100

    MEMPHIS, TN 381039802

    Phone: (901) 436-1381

    Type: Mailing

  • 5300 MACDONALD AVE LOT 30

    KEY WEST, FL 330405878

    Phone: (305) 304-7998

    Type: Mailing

  • 924 N MAGNOLIA AVE STE 202

    ORLANDO, FL 328033220

    Phone: (305) 304-7998

    Fax: (321) 300-0763

    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: 2025-03-10

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
I20250310003506INurse 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 38103)

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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: 1557274107View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

Is ATHENA FLORES (NP) listed with a National Provider Identifier?
Yes — ATHENA FLORES (NP) has NPI 1164024030 on file in the registry.
Active or inactive — what applies to ATHENA FLORES (NP)?
You should see ATHENA FLORES (NP) as active in CMS-hosted NPPES data.
What kind of doctor is ATHENA FLORES (NP)?
ATHENA FLORES (NP) is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ATHENA FLORES (NP)?
Travel planning: use Memphis, Tennessee as the reference point for ATHENA FLORES (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.