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PROF. RAISA SHUM ALFONSO ARNP
NPI 1871070425
Nurse Practitioner - Family in Miami, FL

Active since July 26, 2018PECOS Enrolled
952 NW 6TH ST APT 5, MIAMI, FL 33136(786) 443-9246 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2020, Jul 26, 2018 (2 updates tracked since 2018).

About Prof. Raisa Shum Alfonso Arnp NPPES

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

PROF. RAISA SHUM ALFONSO ARNP (NPI 1871070425) is an individual family provider in Miami, Florida, licensed in Florida (ARNP9371480) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871070425
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePROF. RAISA SHUM ALFONSOCredential: ARNP
Location Address952 NW 6TH ST APT 5Miami, FL 33136-3728
Mailing Address952 Nw 6th St Apt 5Miami, FL 33136-3728 · (786) 443-9246
Phone(786) 443-9246
Sole ProprietorNo
Enumeration DateJuly 26, 2018
Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration
✔ NPI 1871070425 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 · ARNP9371480
952 NW 6TH ST APT 5, Miami, FL 33136
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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)

Prof. Raisa Shum Alfonso Arnp 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 Raisa Shum Alfonso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eternity Medical Group Corp
0.9 mi
Clinic/Center
900 SW 8TH ST STE C1
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1083216022 (786) 332-3136

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 33136 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 Raisa Shum Alfonso's NPI number?

The NPI number for Raisa Shum Alfonso is 1871070425. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Raisa Shum Alfonso located?

Raisa Shum Alfonso practices at 952 NW 6th St Apt 5, Miami, FL 33136. The listed phone number is (786) 443-9246.

What is Raisa Shum Alfonso's specialty?

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

Is Raisa Shum Alfonso enrolled in Medicare?

Yes. Raisa Shum Alfonso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raisa Shum Alfonso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raisa Shum Alfonso reassigns Medicare benefits to Eternity Medical Group Corp (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 Raisa Shum Alfonso'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 Raisa Shum Alfonso was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.