BETSY S CARRASQUILLO
NPI 1104658608
Nurse Practitioner - Family in Tampa, FL

Active since August 14, 2024PECOS Enrolled
5381 PRIMROSE LAKE CIR, TAMPA, FL 33647(813) 615-2488 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Aug 14, 2024 (2 updates tracked since 2024).

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

NPI1104658608
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETSY S CARRASQUILLO
Location Address5381 PRIMROSE LAKE CIRTampa, FL 33647-3521
Mailing Address111 Lake Hollingsworth DrLakeland, FL 33801-5607 · (863) 680-4111
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 14, 2024
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1104658608 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 · 11034568
5381 PRIMROSE LAKE CIR, Tampa, FL 33647

Secondary Practice Location 1

Location 1111 Lake Hollingsworth DrLakeland, FL 33801-5607 · Phone (863) 680-4111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Betsy S Carrasquillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133655897
PECOS Enrollment IDI20241205001455
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 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.

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.

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.

Nurse Practitioner (Family)
5381 PRIMROSE LAKE CIR
TAMPA, FL 33647
Nurse Practitioner (Adult Health)
5381 PRIMROSE LAKE CIR
TAMPA, FL 33647
Hospitalist
5381 PRIMROSE LAKE CIR
TAMPA, FL 33647
Nurse Practitioner (Family)
5381 PRIMROSE LAKE CIR
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.

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 17 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.