Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAULA SURYANI WIBOWO APRN
NPI 1427681410
Nurse Practitioner - Adult Health in Orlando, FL

Q: What is Paula Wibowo's NPI number?

The NPI number for Paula Wibowo is 1427681410. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Q: What is Paula Wibowo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Paula Wibowo was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 February 18, 2020PECOS Enrolled

76.41/100

CMS Quality Rating

22 UNDERWOOD ST, ORLANDO, FL 32806(863) 226-6011(863) 226-6031 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2026, Sep 22, 2020, Mar 18, 2020 and 1 more (4 updates tracked since 2020).

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About Paula Suryani Wibowo Aprn NPPES

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

PAULA SURYANI WIBOWO APRN (NPI 1427681410) is an individual adult health provider in Orlando, Florida, licensed in Florida (APRN11006209) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427681410

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NamePAULA SURYANI WIBOWOCredential: APRN

Location Address22 UNDERWOOD STOrlando, FL 32806-1110

Mailing Address22 Underwood StOrlando, FL 32806-1110 · (863) 226-6011 · Fax (863) 226-6031

Phone(863) 226-6011

Fax(863) 226-6031

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 18, 2020

Last NPPES UpdateSeptember 15, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1427681410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11006209

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11006209 (FL)

22 UNDERWOOD ST, Orlando, FL 32806

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Secondary Practice Location 1

Location 11600 Lakeland Hills BlvdLakeland, FL 33805-3019 · Phone (863) 680-7490 · Fax (866) 264-8519

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

Paula Suryani Wibowo 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 ID2567891401

PECOS Enrollment IDI20200329000274

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 4

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.

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.

324 services246 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

111 services97 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.

73 services70 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32806 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.

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.

76.41/100

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

Scored as part of a group practice

Quality

61.87

Promoting Interoperability

100

Improvement Activities

Cost

59.5

Other Providers at the Same Location NPPES 16

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

HANNA FRANCIS

Nurse Practitioner (Adult Health)