LUIS MARRERO
NPI 1669157442
Nurse Practitioner - Acute Care in Davenport, FL

Q: What is Luis Marrero's NPI number?

The NPI number for Luis Marrero is 1669157442. It was assigned to this individual provider in the NPPES registry on June 19, 2023. The provider is also known as Luis Enrique Bueno Marrero.

Q: What is Luis Marrero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Luis Marrero was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2023PECOS Enrolled

2217 NORTH BLVD W, DAVENPORT, FL 33837(863) 421-3456 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2023, Jun 19, 2023 (2 updates tracked since 2023).

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About Luis Marrero NPPES

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

LUIS MARRERO (NPI 1669157442) is an individual acute care provider in Davenport, Florida, licensed in Florida (APRN11026280) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Wales.

NPPES Registry Identity

NPI1669157442

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameLUIS MARRERO

Location Address2217 NORTH BLVD WDavenport, FL 33837-8990

Mailing Address2217 North Blvd WDavenport, FL 33837-8990 · (863) 421-3456

Phone(863) 421-3456

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1669157442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APRN11026280

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 11026280 (FL)

2217 NORTH BLVD W, Davenport, FL 33837

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Other Names 1

Former Name (1)Luis Enrique Bueno Marrero

Secondary Practice Location 1

Location 1407 S 11th StLake Wales, FL 33853-4243 · Phone (863) 419-8366

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Marrero 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.

Medicare Billing Reassignment

Medicare enrollment records show Luis Marrero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Physician Group Inc

48 mi

Family Medicine

3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613

Reassigned Medicare billing, Florida enrollment
1,719 clinicians in this Medicare group

NPI 1174955256 (813) 336-5766

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

53 services43 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

23 services20 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.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 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 6

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

OPHELIA DACOSTA-GREEN APRN

Nurse Practitioner (Family)