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RAISSA PRISCA MABAYA FNP-BC
NPI 1619541398
Nurse Practitioner - Family in Lakeland, FL

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
4406 S FLORIDA AVE STE 17, LAKELAND, FL 33813(888) 646-5088 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 31, 2026, Mar 8, 2025, May 17, 2021 (3 updates tracked since 2021).

About Raissa Prisca Mabaya Fnp-bc NPPES

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

RAISSA PRISCA MABAYA FNP-BC (NPI 1619541398) is an individual family provider in Lakeland, Florida, licensed in Florida (APRN11023022) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619541398
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAISSA PRISCA MABAYACredential: FNP-BC
Location Address4406 S FLORIDA AVE STE 17Lakeland, FL 33813-2182
Mailing Address4406 S Florida Ave Ste 17Lakeland, FL 33813-2182 · (888) 646-5088
Phone(888) 646-5088
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 17, 2021
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1619541398 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
Licenses✔ Licensed in FL · APRN11023022✔ Licensed in VA · 0024180342
4406 S FLORIDA AVE STE 17, Lakeland, FL 33813
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11430 S Dixie Hwy Ste 304Coral Gables, FL 33146-3159 · Phone (888) 696-4322 · Fax (786) 272-5719
Location 21637 Shepherd RdLakeland, FL 33811-2122 · Phone (863) 284-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Raissa Prisca Mabaya Fnp-bc 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 ID1759775463
PECOS Enrollment IDI20230508001300
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.

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 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 4

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

DR. VIVEK I. PATEL MD
Internal Medicine
4406 S FLORIDA AVE STE 17
LAKELAND, FL 33813
Polk County (863) 646-5088
LAKELAND REGIONAL HEALTH SYSTEM, INC
Clinic/Center (Multi-Specialty)
4406 S FLORIDA AVE STE 17
LAKELAND, FL 33813
Polk County (863) 646-5088
ROBINSON FAMILY CLINIC INC
Family Medicine
4406 S FLORIDA AVE STE 17
LAKELAND, FL 33813
Polk County (863) 646-5088
DR. AYESHA JAFRI MD
Family Medicine
4406 S FLORIDA AVE STE 17
LAKELAND, FL 33813
Polk County (863) 646-5088

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 Raissa Mabaya's NPI number?

The NPI number for Raissa Mabaya is 1619541398. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Raissa Mabaya located?

Raissa Mabaya practices at 4406 S Florida Ave Ste 17, Lakeland, FL 33813. The listed phone number is (888) 646-5088.

What is Raissa Mabaya's specialty?

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

Is Raissa Mabaya enrolled in Medicare?

Yes. Raissa Mabaya 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 Raissa Mabaya accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Raissa Mabaya 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.

Is Raissa Mabaya affiliated with any hospitals?

According to CMS data, Raissa Mabaya is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Raissa Mabaya was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.