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ZULEYMA ENID TOLEDO-NIEVES
NPI 1750838702
Psychiatry & Neurology - Neurology in Lakeland, FL

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
3030 HARDEN BLVD, LAKELAND, FL 33803(863) 284-6809 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2022, May 6, 2022, Apr 15, 2021 and 1 more (4 updates tracked since 2017).

About Zuleyma Enid Toledo-nieves NPPES

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

ZULEYMA ENID TOLEDO-NIEVES (NPI 1750838702) is an individual neurology provider in Lakeland, Florida, licensed in Florida (ME149057) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750838702
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameZULEYMA ENID TOLEDO-NIEVES
Location Address3030 HARDEN BLVDLakeland, FL 33803-7952
Mailing Address1324 Lakeland Hills Blvd, Attn: Managed Care DeptLakeland, FL 33805-4543 · (863) 687-1100 · Fax (863) 630-6528
Phone(863) 284-6809
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 7, 2016
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1750838702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME149057✔ Licensed in NC · 227182
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3030 HARDEN BLVD, Lakeland, FL 33803
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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) and more.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

Zuleyma Enid Toledo-nieves 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 ID9739456286
PECOS Enrollment IDI20220406001587
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 7

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.
236 services146 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.
78 services78 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.
71 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services33 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

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 33803 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

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.

DR. AARTI D PATEL M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1222
DR. BETH P WILLIAMS MD
Obstetrics & Gynecology
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 284-6800
DR. COLTON AUSTIN FAZA M.D.
Internal Medicine (Sports Medicine)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1250
HMA BARTOW-SOLANTIC JOINT VENTURE LLC
Clinic/Center (Urgent Care)
3030 HARDEN BLVD, SUITE 102
LAKELAND, FL 33803
Polk County (904) 223-2330
OMAR WAZZAN
Psychiatry & Neurology (Neurology)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 284-6809
LAURA MARIA RABASSA
Physician Assistant (Surgical)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1100
AUNG NAING M.D.
Internal Medicine (Critical Care Medicine)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 284-5020
DR. RENEE GENOVA
Orthopaedic Surgery (Orthopaedic Trauma)
3030 HARDEN BLVD
LAKELAND, FL 33803
Polk County (863) 687-1250

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 Zuleyma Toledo-nieves's NPI number?

The NPI number for Zuleyma Toledo-nieves is 1750838702. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Zuleyma Toledo-nieves located?

Zuleyma Toledo-nieves practices at 3030 Harden Blvd, Lakeland, FL 33803. The listed phone number is (863) 284-6809.

What is Zuleyma Toledo-nieves's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Zuleyma Toledo-nieves enrolled in Medicare?

Yes. Zuleyma Toledo-nieves 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 Zuleyma Toledo-nieves accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Zuleyma Toledo-nieves 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 Zuleyma Toledo-nieves affiliated with any hospitals?

According to CMS data, Zuleyma Toledo-nieves is affiliated with Adventhealth Sebring and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Zuleyma Toledo-nieves was last updated on September 19, 2022. 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.