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CARLOS MIGUEL MARTINEZ COSTA FNP
NPI 1114635919
Nurse Practitioner - Family in Hialeah, FL

Active since November 10, 2022PECOS Enrolled
1072 W 64TH ST, HIALEAH, FL 33012(786) 630-3894(786) 534-4540 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlos Miguel Martinez Costa Fnp NPPES

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

CARLOS MIGUEL MARTINEZ COSTA FNP (NPI 1114635919) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11022982) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114635919
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCARLOS MIGUEL MARTINEZ COSTACredential: FNP
Location Address1072 W 64TH STHialeah, FL 33012-6417
Mailing Address1072 W 64th StHialeah, FL 33012-6417 · (786) 630-3894 · Fax (786) 534-4540
Phone(786) 630-3894
Fax(786) 534-4540
Sole ProprietorYes
Enumeration DateNovember 10, 2022
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1114635919 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 · APRN11022982
1072 W 64TH ST, Hialeah, FL 33012
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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 (PECOS)

Carlos Miguel Martinez Costa Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carlos Martinez Costa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comfort Medical Care LLC
2.1 mi
Family Medicine
14100 PALMETTO FRNTG RD STE 105
Miami Lakes, FL 33016
  • Reassigned Medicare billing, Florida enrollment
NPI 1972385243 (786) 630-3894
Comfort Medcare LLC
2.2 mi
Family Medicine
5881 NW 151ST ST STE 106
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1104689272 (786) 963-8027

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 33012 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.

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 Carlos Martinez Costa's NPI number?

The NPI number for Carlos Martinez Costa is 1114635919. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Carlos Martinez Costa located?

Carlos Martinez Costa practices at 1072 W 64th St, Hialeah, FL 33012. The listed phone number is (786) 630-3894.

What is Carlos Martinez Costa's specialty?

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

Is Carlos Martinez Costa enrolled in Medicare?

Yes. Carlos Martinez Costa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlos Martinez Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Martinez Costa reassigns Medicare benefits to 2 organizations: Comfort Medical Care LLC (Miami Lakes, FL) and Comfort Medcare LLC (Miami Lakes, 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 Carlos Martinez Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Martinez Costa accept?

Health plans from AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Carlos Martinez Costa 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 Carlos Martinez Costa was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.