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NELSON TOLEDO
NPI 1902401532
Nurse Practitioner - Family in North Bay Village, FL

Active since December 01, 2020PECOS EnrolledAccepts Medicare Assignment
1881 79TH STREET CSWY APT 1703, NORTH BAY VILLAGE, FL 33141(786) 380-1440 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nelson Toledo NPPES

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

NELSON TOLEDO (NPI 1902401532) is an individual family provider in North Bay Village, Florida, licensed in Florida (11200451) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902401532
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNELSON TOLEDO
Location Address1881 79TH STREET CSWY APT 1703North Bay Village, FL 33141-4275
Mailing Address1881 79th Street Cswy Apt 1703North Bay Village, FL 33141-4275 · (786) 380-1440
Phone(786) 380-1440
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1902401532 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 · 11200451
1881 79TH STREET CSWY APT 1703, North Bay Village, FL 33141
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Other Identifiers 1

Other11200451FL · American Academy Of Nurse Practitioners Certification Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nelson Toledo 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 ID4688063795
PECOS Enrollment IDI20211111000738
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 Nelson Toledo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guidewell Sanitas I, LLC
6.6 mi
Multi-Specialty
16875 NW 2ND AVE, STE 102-105
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
NPI 1598311516 (844) 665-4827

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 33141 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 Nelson Toledo's NPI number?

The NPI number for Nelson Toledo is 1902401532. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Nelson Toledo located?

Nelson Toledo practices at 1881 79th Street Cswy Apt 1703, North Bay Village, FL 33141. The listed phone number is (786) 380-1440.

What is Nelson Toledo's specialty?

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

Is Nelson Toledo enrolled in Medicare?

Yes. Nelson Toledo 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.

Which organization bills Medicare for Nelson Toledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Toledo reassigns Medicare benefits to Guidewell Sanitas I, LLC (North Miami Beach, 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 Nelson Toledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nelson Toledo accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nelson Toledo 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 Nelson Toledo was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.