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CHIRALY DUTREVIL FNP
NPI 1992537955
Nurse Practitioner - Family in Lakewood Ranch, FL

Active since August 19, 2024PECOS Enrolled
17206 POLO TRL, LAKEWOOD RANCH, FL 34211(407) 219-1700 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Chiraly Dutrevil Fnp NPPES

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

CHIRALY DUTREVIL FNP (NPI 1992537955) is an individual family provider in Lakewood Ranch, Florida, licensed in Florida (F08240380) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992537955
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHIRALY DUTREVILCredential: FNP
Location Address17206 POLO TRLLakewood Ranch, FL 34211-1720
Mailing Address17206 Polo TrlLakewood Ranch, FL 34211-1720 · (407) 219-1700
Phone(407) 219-1700
Sole ProprietorYes
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 18, 2024
✔ NPI 1992537955 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 · F08240380
17206 POLO TRL, Lakewood Ranch, FL 34211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiraly Dutrevil Fnp 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 Chiraly Dutrevil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Complexcare Medical Group Southeast H PLLC
1,040 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1083508238 (248) 660-1220

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 34211 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Chiraly Dutrevil's NPI number?

The NPI number for Chiraly Dutrevil is 1992537955. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Chiraly Dutrevil located?

Chiraly Dutrevil practices at 17206 Polo Trl, Lakewood Ranch, FL 34211. The listed phone number is (407) 219-1700.

What is Chiraly Dutrevil's specialty?

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

Is Chiraly Dutrevil enrolled in Medicare?

Yes. Chiraly Dutrevil is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chiraly Dutrevil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chiraly Dutrevil reassigns Medicare benefits to Complexcare Medical Group Southeast H PLLC (Novi, MI). 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 Chiraly Dutrevil'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 Chiraly Dutrevil was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.