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CAROLINA PAVON APRN - FNP, BC
NPI 1053951996
Nurse Practitioner - Family in Cape Coral, FL

Active since January 08, 2020PECOS EnrolledAccepts Medicare Assignment
313 SW PINE ISLAND RD, CAPE CORAL, FL 33991(239) 458-6755 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2024, Mar 24, 2023, Sep 15, 2020 and 1 more (4 updates tracked since 2020).

About Carolina Pavon Aprn - Fnp, Bc NPPES

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

CAROLINA PAVON APRN - FNP, BC (NPI 1053951996) is an individual family provider in Cape Coral, Florida, licensed in Florida (APRN11005098) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cape Coral, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053951996
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLINA PAVONCredential: APRN - FNP, BC
Location Address313 SW PINE ISLAND RDCape Coral, FL 33991-2043
Mailing Address313 Sw Pine Island RdCape Coral, FL 33991-2043 · (239) 458-6755
Phone(239) 458-6755
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateJune 3, 20244 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1053951996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11005098
313 SW PINE ISLAND RD, Cape Coral, FL 33991
Open in Google Maps ↗

Secondary Practice Location 1

Location 12026 NW 11th CtCape Coral, FL 33993-3900 · Phone (786) 547-5149

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolina Pavon Aprn - Fnp, Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850787318
PECOS Enrollment IDI20220408001975
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 Reassignments

5

Medicare enrollment records show Carolina Pavon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dwic Of Tampa Bay, Inc
Same address
Urgent Care
313 SW PINE ISLAND ROAD
Cape Coral, FL 33991
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1427416908 (239) 458-6755
Millennium Physician Group LLC
11 mi
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
NPI 1811122880 (877) 856-3774
Precision Healthcare Specialists, LLC
11 mi
Otolaryngology
13691 METRO PKWY STE 300
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 112 clinicians in this Medicare group
NPI 1457050106 (239) 416-8101
The Heart Institute Of Venice PLLC
41 mi
Interventional Cardiology
1370 EAST VENICE AVE, SUITE 102
Venice, FL 34285
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1437114642 (941) 412-0026
Dispatchhealth-Florida Inc.
99 mi
Emergency Medicine
5421 BEAUMONT CENTER BLVD STE 660
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1407472723 (813) 551-1015

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
36 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services33 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
28 services28 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33991 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

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

DR. JOHN STEPHEN WALSH MD
Family Medicine
313 SW PINE ISLAND RD
CAPE CORAL, FL 33991
Lee County (239) 458-6755
BOBBIE LYN DARLING FNP-BC
Nurse Practitioner (Family)
313 SW PINE ISLAND RD
CAPE CORAL, FL 33991
Lee County (646) 614-3280

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 Carolina Pavon's NPI number?

The NPI number for Carolina Pavon is 1053951996. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Carolina Pavon located?

Carolina Pavon practices at 313 SW Pine Island Rd, Cape Coral, FL 33991. The listed phone number is (239) 458-6755.

What is Carolina Pavon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolina Pavon enrolled in Medicare?

Yes. Carolina Pavon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carolina Pavon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Pavon reassigns Medicare benefits to 5 organizations: Dwic Of Tampa Bay, Inc (Cape Coral, FL), Millennium Physician Group LLC (Fort Myers, FL), Precision Healthcare Specialists, LLC (Fort Myers, FL), The Heart Institute Of Venice PLLC (Venice, FL) and Dispatchhealth-Florida Inc. (Tampa, FL). Each 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 Carolina Pavon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolina Pavon accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Carolina Pavon 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 Carolina Pavon was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.