MR. EDMUNDO BARRETO APRN
NPI 1346909421
Nurse Practitioner - Family in Lehigh Acres, FL

Q: What is Edmundo Barreto's NPI number?

The NPI number for Edmundo Barreto is 1346909421. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Edmundo Barreto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edmundo Barreto was last updated on October 26, 2023. 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.

Active since December 15, 2021PECOS EnrolledAccepts Medicare Assignment

77.25/100

CMS Quality Rating

615 WILLIAMS AVE, LEHIGH ACRES, FL 33972(239) 310-5269 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2023, Dec 15, 2021 (2 updates tracked since 2021).

On this page

About Mr. Edmundo Barreto Aprn NPPES

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

MR. EDMUNDO BARRETO APRN (NPI 1346909421) is an individual family provider in Lehigh Acres, Florida, licensed in Florida (11016985) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Myers, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346909421

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. EDMUNDO BARRETOCredential: APRN

Location Address615 WILLIAMS AVELehigh Acres, FL 33972-7954

Mailing Address615 Williams AveLehigh Acres, FL 33972-7954 · (239) 310-5269

Phone(239) 310-5269

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 15, 2021

Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration

NPPES CertifiedOctober 26, 2023

✔ NPI 1346909421 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 · 11016985

615 WILLIAMS AVE, Lehigh Acres, FL 33972

Open in Google Maps ↗

Secondary Practice Location 1

Location 113691 Metropolis AveFort Myers, FL 33912-4318 · Phone (239) 561-3376

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Edmundo Barreto Aprn 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 ID9032592613

PECOS Enrollment IDI20220815001285

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.

Areas of Expertise CMS Part B claims 12

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

238 services51 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

111 services71 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

103 services73 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.

74 services42 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

57 services44 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

53 services52 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.

36 services36 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

32 services23 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

30 services29 patients

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.

22 services22 patients

Punch biopsy, each additional skin growth 11105

A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.

12 services12 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33972 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.22

Improvement Activities

Cost

49.44

Other Providers at the Same Location NPPES 3

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

SOLEDAD TRIANA PA-C

Physician Assistant

615 WILLIAMS AVE
LEHIGH ACRES, FL 33972

Lee County (866) 400-3376

IM HOSPITALIST, PA

General Practice

615 WILLIAMS AVE, SUITE 102
LEHIGH ACRES, FL 33972

Lee County (239) 303-2600

ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC

Surgery

615 WILLIAMS AVE, SUITE 101
LEHIGH ACRES, FL 33972

Lee County (239) 303-5273

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 Edmundo Barreto's NPI number?

The NPI number for Edmundo Barreto is 1346909421. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Edmundo Barreto located?

Edmundo Barreto practices at 615 Williams Ave, Lehigh Acres, FL 33972. The listed phone number is (239) 310-5269.

What is Edmundo Barreto's specialty?

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

Is Edmundo Barreto enrolled in Medicare?

Yes. Edmundo Barreto 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.

What insurance does Edmundo Barreto accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Edmundo Barreto 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 Edmundo Barreto was last updated on October 26, 2023. 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.