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CARMEN LIDYA CRISTOBAL FNP
NPI 1043102510
Family Medicine in Leesburg, FL

Active since July 17, 2025PECOS Enrolled
1605 NORMANDY WAY, LEESBURG, FL 34748(352) 678-8825 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carmen Lidya Cristobal Fnp NPPES

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

CARMEN LIDYA CRISTOBAL FNP (NPI 1043102510) is an individual family medicine provider in Leesburg, Florida, licensed in Florida (F07250451) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043102510
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARMEN LIDYA CRISTOBALCredential: FNP
Location Address1605 NORMANDY WAYLeesburg, FL 34748-6733
Mailing Address1605 Normandy WayLeesburg, FL 34748-6733 · (352) 678-8825
Phone(352) 678-8825
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 17, 2025
Last NPPES UpdateJanuary 3, 2026
NPPES CertifiedJanuary 3, 2026
✔ NPI 1043102510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · F07250451
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1605 NORMANDY WAY, Leesburg, FL 34748
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Lidya Cristobal Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648751271
PECOS Enrollment IDI20260223000923
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 Carmen Cristobal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunshine Kidney Care LLC
12 mi
Nephrology
1400 N US HIGHWAY 441 STE 522
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1639759202 (352) 388-5800

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 34748 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Carmen Cristobal's NPI number?

The NPI number for Carmen Cristobal is 1043102510. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Carmen Cristobal located?

Carmen Cristobal practices at 1605 Normandy Way, Leesburg, FL 34748. The listed phone number is (352) 678-8825.

What is Carmen Cristobal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carmen Cristobal enrolled in Medicare?

Yes. Carmen Cristobal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Cristobal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Cristobal reassigns Medicare benefits to Sunshine Kidney Care LLC (The Villages, 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 Carmen Cristobal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Cristobal was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.