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MRS. CONCEPCION FORNARIS CABALLERO APRN
NPI 1922666312
Nurse Practitioner - Primary Care in Hollywood, FL

Active since May 31, 2019PECOS Enrolled
6351 ADAMS ST, HOLLYWOOD, FL 33023(954) 638-6924 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Concepcion Fornaris Caballero Aprn NPPES

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

MRS. CONCEPCION FORNARIS CABALLERO APRN (NPI 1922666312) is an individual primary care provider in Hollywood, Florida, licensed in Florida (11002534) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922666312
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. CONCEPCION FORNARIS CABALLEROCredential: APRN
Location Address6351 ADAMS STHollywood, FL 33023-1749
Mailing Address6351 Adams StHollywood, FL 33023-1749 · (954) 638-6924
Phone(954) 638-6924
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2019
✔ NPI 1922666312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · 11002534
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 11002534 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 11002534 (FL)
6351 ADAMS ST, Hollywood, FL 33023
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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)

Mrs. Concepcion Fornaris Caballero Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416369137
PECOS Enrollment IDI20201221002558
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 Reassignments

3

Medicare enrollment records show Concepcion Fornaris Caballero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Compassionate Care Hospice Of Miami Dade And The Florida Keys, Inc.
10 mi
Specialist
460-464 WEST 51ST PLACE
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1982242459 (786) 329-4035
Amedisys Hospice, L.L.C.
146 mi
Hospice and Palliative Medicine
1696 W HIBISCUS BLVD STE B
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1174200620 (321) 549-0275
Compassionate Care Hospice Of Lake And Sumter Inc
229 mi
Specialist
304 LAGRANDE BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1770129504 (352) 415-0778

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 33023 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Concepcion Fornaris Caballero's NPI number?

The NPI number for Concepcion Fornaris Caballero is 1922666312. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Concepcion Fornaris Caballero located?

Concepcion Fornaris Caballero practices at 6351 Adams St, Hollywood, FL 33023. The listed phone number is (954) 638-6924.

What is Concepcion Fornaris Caballero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Concepcion Fornaris Caballero enrolled in Medicare?

Yes. Concepcion Fornaris Caballero is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Concepcion Fornaris Caballero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Concepcion Fornaris Caballero reassigns Medicare benefits to 3 organizations: Compassionate Care Hospice Of Miami Dade And The Florida Keys, Inc. (Hialeah, FL), Amedisys Hospice, L.L.C. (Melbourne, FL) and Compassionate Care Hospice Of Lake And Sumter Inc (The Villages, FL). Each 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 Concepcion Fornaris Caballero'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 Concepcion Fornaris Caballero was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.