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ELISA ROSARIO ICAZA ARNP
NPI 1194770271
Nurse Practitioner - Primary Care in St. Petersburg, FL

Active since May 24, 2006PECOS Enrolled
1700 66TH ST. N., SUITE 510, ST. PETERSBURG, FL 33710(727) 384-2479(727) 384-3573 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2019, May 17, 2019, Apr 14, 2017 (3 updates tracked since 2017).

About Elisa Rosario Icaza Arnp NPPES

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

ELISA ROSARIO ICAZA ARNP (NPI 1194770271) is an individual primary care provider in St. Petersburg, Florida, licensed in Florida (APRN1701762) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194770271
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELISA ROSARIO ICAZACredential: ARNP
Location Address1700 66TH ST. N., SUITE 510St. Petersburg, FL 33710-5512
Mailing Address1700 66th St. N., Suite 510St. Petersburg, FL 33710-5512 · (727) 384-2479 · Fax (727) 384-3573
Phone(727) 384-2479
Fax(727) 384-3573
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateOctober 25, 20193 updates tracked since enumeration
✔ NPI 1194770271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · APRN1701762
1700 66TH ST. N., St. Petersburg, FL 33710
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Other Names 1

Former Name (1)Elisa Rosario Icaza Arnp

Other Identifiers 1

Medicaid304992200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Rosario Icaza 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 33710 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 2

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

MS. MARGARET LILLIAN LALOR ARNP
Nurse Practitioner (Primary Care)
1700 66TH ST. N., SUITE 510
ST. PETERSBURG, FL 33710
Pinellas County (727) 384-2479
ADVANCED BAY AREA MEDICAL ASSOCIATES
Internal Medicine (Infectious Disease)
1700 66TH ST. N., STE 510
ST PETERSBURG, FL 33710
Pinellas County (727) 384-2479

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 Elisa Icaza's NPI number?

The NPI number for Elisa Icaza is 1194770271. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Elisa Rosario Icaza Arnp.

Where is Elisa Icaza located?

Elisa Icaza practices at 1700 66th St. N. Suite 510, St. Petersburg, FL 33710. The listed phone number is (727) 384-2479.

What is Elisa Icaza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Elisa Icaza enrolled in Medicare?

Yes. Elisa Icaza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisa Icaza was last updated on October 25, 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.