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EDGAR R PERALTA-LEE APRN
NPI 1841086881
Nurse Practitioner - Family in Miami Gardens, FL

Active since April 16, 2025PECOS Enrolled
111 NW 183RD ST STE 204, MIAMI GARDENS, FL 33169(305) 655-0702(305) 655-0845 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar R Peralta-lee Aprn NPPES

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

EDGAR R PERALTA-LEE APRN (NPI 1841086881) is an individual family provider in Miami Gardens, Florida, licensed in Florida (APRN11038681) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841086881
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDGAR R PERALTA-LEECredential: APRN
Location Address111 NW 183RD ST STE 204Miami Gardens, FL 33169-4578
Mailing Address1412 Sw 158th AvePembroke Pines, FL 33027-2368 · (347) 606-5911
Phone(305) 655-0702
Fax(305) 655-0845
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1841086881 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 · APRN11038681
111 NW 183RD ST STE 204, Miami Gardens, FL 33169
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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)

Edgar R Peralta-lee 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 Edgar Peralta-lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mp Primary Care Services
137 mi
Nephrology
2778 US HIGHWAY 27 S
Avon Park, FL 33825
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
NPI 1609512656 (863) 358-0500

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 33169 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.

Other Providers at the Same Location NPPES

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

LIUDMILA PARGA IBANEZ APRN
Nurse Practitioner
111 NW 183RD ST STE 204
MIAMI, FL 33169
Miami-Dade County (305) 655-0702

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 Edgar Peralta-lee's NPI number?

The NPI number for Edgar Peralta-lee is 1841086881. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Edgar Peralta-lee located?

Edgar Peralta-lee practices at 111 NW 183rd St Ste 204, Miami Gardens, FL 33169. The listed phone number is (305) 655-0702.

What is Edgar Peralta-lee's specialty?

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

Is Edgar Peralta-lee enrolled in Medicare?

Yes. Edgar Peralta-lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgar Peralta-lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Peralta-lee reassigns Medicare benefits to Mp Primary Care Services (Avon Park, 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 Edgar Peralta-lee'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 Edgar Peralta-lee was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.