MRS. ENRILEN ALTA APRN-C
NPI 1497239693
Nurse Practitioner - Family in Tampa, FL

Q: What is Enrilen Alta's NPI number?

The NPI number for Enrilen Alta is 1497239693. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Q: What is Enrilen Alta'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 Enrilen Alta was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment

4301 N HABANA AVE, TAMPA, FL 33607(813) 879-5010(813) 443-8148 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Jun 14, 2024, Mar 3, 2022 and 3 more (6 updates tracked since 2018).

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About Mrs. Enrilen Alta Aprn-c NPPES

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

MRS. ENRILEN ALTA APRN-C (NPI 1497239693) is an individual family provider in Tampa, Florida, licensed in Florida (ARNP9250767) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497239693

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ENRILEN ALTACredential: APRN-C

Location Address4301 N HABANA AVETampa, FL 33607-6546

Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (813) 879-5010 · Fax (813) 443-8148

Phone(813) 879-5010

Fax(813) 443-8148

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 24, 2018

Last NPPES UpdateMay 19, 20266 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1497239693 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 · ARNP9250767

4301 N HABANA AVE, Tampa, FL 33607

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Other Identifiers 1

Medicaid102215300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed.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

Mrs. Enrilen Alta Aprn-c 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 ID143561464

PECOS Enrollment IDI20190412001848

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 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 20

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

MS. BONNIE SUE MOSS ARNP

Nurse Practitioner