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DIANELIS BOUZA APRN
NPI 1861030660
Nurse Practitioner - Family in Miami, FL

Active since December 12, 2019PECOS Enrolled
628 NW 22ND AVE, MIAMI, FL 33125(786) 623-7074 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2024, Sep 27, 2022, Dec 12, 2019 (3 updates tracked since 2019).

About Dianelis Bouza Aprn NPPES

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

DIANELIS BOUZA APRN (NPI 1861030660) is an individual family provider in Miami, Florida, licensed in Florida (11004426) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861030660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANELIS BOUZACredential: APRN
Location Address628 NW 22ND AVEMiami, FL 33125-3305
Mailing Address2415 Centergate Dr Apt 105Miramar, FL 33025-7284 · (786) 623-7074
Phone(786) 623-7074
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateDecember 8, 20243 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
✔ NPI 1861030660 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 · 11004426
628 NW 22ND AVE, Miami, FL 33125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dianelis Bouza 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 Dianelis Bouza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Acevedo Medical Care Group Inc
3.1 mi
General Practice
2400 NW 54 ST.
Miami, FL 33142
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1588756001 (305) 633-9090

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 33125 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 Dianelis Bouza's NPI number?

The NPI number for Dianelis Bouza is 1861030660. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Dianelis Bouza located?

Dianelis Bouza practices at 628 NW 22nd Ave, Miami, FL 33125. The listed phone number is (786) 623-7074.

What is Dianelis Bouza's specialty?

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

Is Dianelis Bouza enrolled in Medicare?

Yes. Dianelis Bouza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dianelis Bouza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dianelis Bouza reassigns Medicare benefits to Acevedo Medical Care Group Inc (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 Dianelis Bouza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dianelis Bouza accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Dianelis Bouza 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.

When was this NPI record last updated?

The NPPES record for Dianelis Bouza was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.