NPIMap

Individual provider Active NPI

Mercedes Maria Penafuentes, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124775226
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11018574 Issued in FL
Practice address
940 NW 128TH PL
Miami, FL 33182-2318
Phone
(786) 461-2857
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11018574 FL Primary

Addresses

Primary practice location

940 NW 128TH PL
Miami, FL 33182-2318

Mailing address

940 NW 128TH PL
Miami, FL 33182-2318
Phone (786) 461-2857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721001163 FL Practitioner - Nurse Practitioner 3870974892 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11018574FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Current Accepting new patients
First Docs PC CurrentSince Sep 9, 2024 Accepting new patients
Oak Grove Physician Services, P.a. CurrentSince Feb 15, 2026 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Dec 1, 2023 Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1124775226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 NW 128TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822318",
            "telephone_number": "786-461-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NW 128TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822318",
            "telephone_number": "786-461-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENAFUENTES",
        "first_name": "MERCEDES",
        "middle_name": "MARIA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11018574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.