FLORENCIA KARINA MIRANDA CHUMPITAZ NP
NPI 1356121404
Nurse Practitioner - Family in Lakeport, CA

Q: What is Florencia Miranda Chumpitaz's NPI number?

The NPI number for Florencia Miranda Chumpitaz is 1356121404. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Q: What is Florencia Miranda Chumpitaz's specialty?

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

Active since October 04, 2023PECOS Enrolled

359 LAKEPORT BLVD, LAKEPORT, CA 95453(707) 513-6002 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 9, 2023, Oct 4, 2023 (2 updates tracked since 2023).

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About Florencia Karina Miranda Chumpitaz Np NPPES

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

FLORENCIA KARINA MIRANDA CHUMPITAZ NP (NPI 1356121404) is an individual family provider in Lakeport, California, licensed in California (95027548) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356121404

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFLORENCIA KARINA MIRANDA CHUMPITAZCredential: NP

Location Address359 LAKEPORT BLVDLakeport, CA 95453-5412

Mailing AddressPo Box 672Cobb, CA 95426-0672 · (707) 513-6002

Phone(707) 513-6002

Sole ProprietorYes

Enumeration DateOctober 4, 2023

Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration

NPPES CertifiedOctober 9, 2023

✔ NPI 1356121404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95027548

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95027548 (CA)

359 LAKEPORT BLVD, Lakeport, CA 95453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florencia Karina Miranda Chumpitaz Np 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 95453 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 5

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

LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))