BETSY S CARRASQUILLO
NPI 1104658608
Nurse Practitioner - Family in Tampa, FL
About Betsy S Carrasquillo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETSY S CARRASQUILLO (NPI 1104658608) is an individual family provider in Tampa, Florida, licensed in Florida (11034568) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Betsy S Carrasquillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Betsy Carrasquillo reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33647
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Tampa, FL 33647
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Tampa Hospitalists And Extended Care Providers PA
- 6 clinicians in this Medicare group
Tampa, FL 33634
- Reassigned Medicare billing, Florida enrollment
- 315 clinicians in this Medicare group
Saint Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 39 clinicians in this Medicare group
Port St Lucie, FL 34986
- Reassigned Medicare billing, Florida enrollment
- 187 clinicians in this Medicare group
Stuart, FL 34994
- Reassigned Medicare billing, Florida enrollment
- 45 clinicians in this Medicare group
Stuart, FL 34994
- Reassigned Medicare billing, Florida enrollment
- 10 clinicians in this Medicare group
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 33647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33647
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 Betsy Carrasquillo's NPI number?
The NPI number for Betsy Carrasquillo is 1104658608. It was assigned to this individual provider in the NPPES registry on August 14, 2024.
Where is Betsy Carrasquillo located?
Betsy Carrasquillo practices at 5381 Primrose Lake Cir, Tampa, FL 33647. The listed phone number is (813) 615-2488.
What is Betsy Carrasquillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Betsy Carrasquillo enrolled in Medicare?
Yes. Betsy Carrasquillo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Betsy Carrasquillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Carrasquillo reassigns Medicare benefits to 7 organizations: New Tampa Medical Center PA (Tampa, FL), Tampa Hospitalists And Extended-Care Providers, P.A. (Tampa, FL), Optumcare Florida LLC (Tampa, FL), Comprehensive Hematology Oncology LLC (Saint Petersburg, FL), Wellmed Medical Management Of Florida Inc (Port St Lucie, FL) and 2 more organizations, listed in the Medicare section above. 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 Betsy Carrasquillo'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 Betsy Carrasquillo was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Betsy S Carrasquillo · NPI 1104658608
Family physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since August 14, 2024.
## Identity
- **NPI:** 1104658608 (Entity type: Individual)
- **Enumerated:** August 14, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11034568 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5381 PRIMROSE LAKE CIR, Tampa, FL 33647-3521
- **Phone:** (813) 615-2488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): New Tampa Medical Center PA (NPI 1902828999, Tampa, FL); Tampa Hospitalists And Extended-Care Providers, P.A. (NPI 1912679333, Tampa, FL); Optumcare Florida LLC (NPI 1053384214, Tampa, FL); Comprehensive Hematology Oncology LLC (NPI 1144786906, Saint Petersburg, FL); Wellmed Medical Management Of Florida Inc (NPI 1033395397, Port St Lucie, FL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104658608) · Data from the CMS NPPES public registry.