MISS MARIANNETTE PLAZA (NP) – Nurse Practitioner, NPI 1477535144
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS MARIANNETTE PLAZA (NP)
1255 STATE ROAD 60 E STE 300
LAKE WALES, FL 338534310
Phone:
Type: Mailing
360 S 10th St
Haines City, FL 338445602
Phone: (863) 547-0755
Type: Location
2600 S DOUGLAS RD STE 308
CORAL GABLES, FL 331346134
Phone: (305) 913-9454
Fax: (305) 442-1198
Type: Mailing
127 RIDGE CENTER DR
DAVENPORT, FL 338376401
Phone: (863) 421-7400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $182.
Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.
Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Lilly USA, LLC ($53).
Total Amount
$182
General + Research + Ownership
Payments
10
Total payment records
General Amount
$182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $53 |
| Novo Nordisk Inc | $52 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $26 |
| ABBVIE INC. | $19 |
| GlaxoSmithKline, LLC. | $17 |
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: 2018-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181116002134 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 30 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 22 | 15 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 19 | 19 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
Insurance plans in this area (ZIP 33853)
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