MS. SUZETTE FAWZIA BELLORIN (NP) – Family Nurse Practitioner, NPI 1679709695
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SUZETTE FAWZIA BELLORIN (NP)
1000 Park Centre Blvd Ste 100
Miami, FL 331695373
Phone: (305) 628-6117
Type: Location
4205 W Atlantic Ave
Bldg B Suite 201
Delray Beach, FL 334453901
Phone: (561) 498-2249
Fax: (561) 499-0320
Type: Location
1395 NW 167TH ST
MIAMI GARDENS, FL 331695710
Phone: (786) 535-7200
Fax: (786) 535-7294
Type: Mailing
401 OPA LOCKA BLVD
OPA LOCKA, FL 330543528
Phone: (786) 535-7200
Fax: (786) 535-7294
Type: Location
100 Woods Rd
Valhalla, NY 105951530
Phone: (914) 493-2363
Fax: (914) 493-2505
Type: Location
4205, West Atlantic Avenue, Kingsland, Delray Beach, Palm Beach County, Florida, 33445, United States
BLDG B SUITE 201
DELRAY BEACH, FL 334453901
Phone: (561) 498-2249
Fax: (561) 499-0320
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2021-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160308000103 | I | Nurse Practitioner | FL | TBD |
| I20210929001887 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33169)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.