MIGUEL A DE LA RUA (GERONTOLOGY APRN) – Gerontology Nurse Practitioner, NPI 1437700093
Gerontology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIGUEL A DE LA RUA (GERONTOLOGY APRN)
750 S Federal Hwy
Hollywood, FL 330205424
Phone: (305) 534-0075
Type: Location
750, Federal Highway, Hollywood, Broward County, Florida, 33020, United States
HOLLYWOOD, FL 330205424
Phone: (954) 507-9099
Fax: (844) 742-6552
Type: Mailing
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
1500 E HILLSBORO BLVD
DEERFIELD BEACH, FL 334414355
Phone: (954) 428-1771
Fax: (954) 422-9538
Type: Location
2057 N UNIVERSITY DR
SUNRISE, FL 333223936
Phone: (954) 983-9191
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $279.
Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Novo Nordisk Inc ($55).
Total Amount
$279
General + Research + Ownership
Payments
14
Total payment records
General Amount
$279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $55 |
| Bayer Healthcare Pharmaceuticals Inc. | $41 |
| Amgen Inc. | $39 |
| PFIZER INC. | $38 |
| Exact Sciences Corporation | $34 |
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: 2019-12-18
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 |
|---|---|---|---|---|
| I20191218002156 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 11 | $0 |
Insurance plans in this area (ZIP 33020)
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