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ANDRES RODOLFO BOUCUGNANI ESTRADA APRN
NPI 1760244172
Nurse Practitioner - Family in Miami, FL

Active since January 30, 2024PECOS Enrolled
12640 SW 77TH ST, MIAMI, FL 33183(786) 343-9061 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andres Rodolfo Boucugnani Estrada Aprn NPPES

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

ANDRES RODOLFO BOUCUGNANI ESTRADA APRN (NPI 1760244172) is an individual family provider in Miami, Florida, licensed in Florida (11030578) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760244172
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANDRES RODOLFO BOUCUGNANI ESTRADACredential: APRN
Location Address12640 SW 77TH STMiami, FL 33183-3518
Mailing Address12640 Sw 77th StMiami, FL 33183-3518
Phone(786) 343-9061
Sole ProprietorYes
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1760244172 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 · 11030578
12640 SW 77TH ST, Miami, FL 33183
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andres Rodolfo Boucugnani Estrada Aprn 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 Andres Boucugnani Estrada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Las Mercedes, LLC
3.3 mi
Geriatric Medicine
11701 SW 147TH AVE
Miami, FL 33196
  • Reassigned Medicare billing, Florida enrollment
  • 65 clinicians in this Medicare group
NPI 1467930941 (786) 953-8200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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 Andres Boucugnani Estrada's NPI number?

The NPI number for Andres Boucugnani Estrada is 1760244172. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Andres Boucugnani Estrada located?

Andres Boucugnani Estrada practices at 12640 SW 77th St, Miami, FL 33183. The listed phone number is (786) 343-9061.

What is Andres Boucugnani Estrada's specialty?

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

Is Andres Boucugnani Estrada enrolled in Medicare?

Yes. Andres Boucugnani Estrada is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andres Boucugnani Estrada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andres Boucugnani Estrada reassigns Medicare benefits to Clinica Las Mercedes, LLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andres Boucugnani Estrada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andres Boucugnani Estrada was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.