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GISELLE PELAYO
NPI 1013234806
Nurse Practitioner - Primary Care in Hialeah, FL

Active since May 03, 2010PECOS Enrolled
4175 W 20TH AVE, HIALEAH, FL 33012(305) 825-0300(305) 827-4320 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Giselle Pelayo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GISELLE PELAYO (NPI 1013234806) is an individual primary care provider in Hialeah, Florida, licensed in Florida (ARNP 9298529) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013234806
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameGISELLE PELAYO
Location Address4175 W 20TH AVEHialeah, FL 33012-5874
Mailing Address4175 W 20th AveHialeah, FL 33012-5874 · (305) 825-0300 · Fax (305) 827-4320
Phone(305) 825-0300
Fax(305) 827-4320
Sole ProprietorNo
Enumeration DateMay 3, 2010
Last NPPES UpdateApril 19, 2016
✔ NPI 1013234806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · ARNP 9298529
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4175 W 20TH AVE, Hialeah, FL 33012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Giselle Pelayo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Giselle Pelayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Citrus Health Network Inc
Same address
Federally Qualified Health Center (FQHC)
4175 W 20TH AVE
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
NPI 1275647752 (305) 558-0151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA RAMIREZ PSYD
Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (954) 662-0185
DAYANA MENDEZ LMHC
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
JULIANA DIAZ
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
ANNET CRUZ-DIAZ
Social Worker (Clinical)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
ORLANDO PADRON MD
Student in an Organized Health Care Education/Training Program
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (786) 780-6103
MICHELINE ANNE BEAULIEU MD
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
JUNIOR WILLIAM PITTACK MD
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300
MS. DOLLY AKEL-GREER
Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Miami-Dade County (305) 825-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Giselle Pelayo's NPI number?

The NPI number for Giselle Pelayo is 1013234806. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Giselle Pelayo located?

Giselle Pelayo practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 825-0300.

What is Giselle Pelayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Giselle Pelayo enrolled in Medicare?

Yes. Giselle Pelayo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Giselle Pelayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giselle Pelayo reassigns Medicare benefits to Citrus Health Network Inc (Hialeah, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Giselle Pelayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Giselle Pelayo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Giselle Pelayo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Giselle Pelayo was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.