CARLOS A BACALLAO ARNP
NPI 1043736176
Nurse Practitioner - Adult Health in Homestead, FL

Q: What is Carlos Bacallao's NPI number?

The NPI number for Carlos Bacallao is 1043736176. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Q: What is Carlos Bacallao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Bacallao was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 21, 2017PECOS Enrolled

704 WASHINGTON AVE, HOMESTEAD, FL 33030(305) 250-8758 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2019, Aug 21, 2017 (2 updates tracked since 2017).

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About Carlos A Bacallao Arnp NPPES

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

CARLOS A BACALLAO ARNP (NPI 1043736176) is an individual adult health provider in Homestead, Florida, licensed in Florida (ARNP9271517) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043736176

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameCARLOS A BACALLAOCredential: ARNP

Location Address704 WASHINGTON AVEHomestead, FL 33030-6012

Mailing Address167 W 23rd StHialeah, FL 33010-2211 · (305) 823-3312 · Fax (305) 884-3989

Phone(305) 250-8758

Sole ProprietorYes

Enumeration DateAugust 21, 2017

Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration

✔ NPI 1043736176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · ARNP9271517

Also ListedFamily MedicineTaxonomy 207Q00000X · License ARNP9271517 (FL)

704 WASHINGTON AVE, Homestead, FL 33030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos A Bacallao Arnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33030 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 6

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

HOMESTEAD MENTAL CENTER LLC

Clinic/Center