RAUL EDUARDO VIDAL-COLLAZO APRN
NPI 1538709233
Nurse Practitioner - Family in Winter Park, FL

Active since January 10, 2020PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2005 MIZELL AVE STE 2100, WINTER PARK, FL 32792(407) 646-7015 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2020, Jan 10, 2020 (2 updates tracked since 2020).

About Raul Eduardo Vidal-collazo Aprn NPPES

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

RAUL EDUARDO VIDAL-COLLAZO APRN (NPI 1538709233) is an individual family provider in Winter Park, Florida, licensed in Florida (APRN11004586) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538709233
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAUL EDUARDO VIDAL-COLLAZOCredential: APRN
Location Address2005 MIZELL AVE STE 2100Winter Park, FL 32792-4126
Mailing Address2005 Mizell Ave Ste 2100Winter Park, FL 32792-4126 · (407) 646-7015 · Fax (407) 646-7935
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 10, 2020
Last NPPES UpdateApril 8, 20202 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
NPI 1538709233 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 · APRN11004586
2005 MIZELL AVE STE 2100, Winter Park, FL 32792

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

Raul Eduardo Vidal-collazo 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 ID9436588399
PECOS Enrollment IDI20200330000730
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 2

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 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.
88 services64 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.
57 services43 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792
Obstetrics & Gynecology
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792
Internal Medicine (Gastroenterology)
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792
Physician Assistant
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792
Physician Assistant
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792
Physician Assistant
2005 MIZELL AVE STE 2100
WINTER PARK, FL 32792

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 Raul Vidal-collazo's NPI number?

The NPI number for Raul Vidal-collazo is 1538709233. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Where is Raul Vidal-collazo located?

Raul Vidal-collazo practices at 2005 Mizell Ave Ste 2100, Winter Park, FL 32792. The listed phone number is (407) 646-7015.

What is Raul Vidal-collazo's specialty?

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

Is Raul Vidal-collazo enrolled in Medicare?

Yes. Raul Vidal-collazo 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.

Is Raul Vidal-collazo affiliated with any hospitals?

According to CMS data, Raul Vidal-collazo is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Raul Vidal-collazo was last updated on April 8, 2020. 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.