Individual provider Active NPI

Denia Pedroso, MSN, APRN, AGACNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1154027555
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015257 Issued in FL
Practice address
8851 NW 119TH St Unit 3206
Hialeah, FL 33018-7909
Phone
(305) 910-6091
Fax
(857) 336-1383
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X APRN11015257 FL
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN11015257 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015257 FL Primary

Addresses

Primary practice location

8851 NW 119TH St Unit 3206
Hialeah, FL 33018-7909

Mailing address

8851 NW 119TH St Unit 3206
Hialeah, FL 33018-7909
Phone (305) 910-6091

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241021000582 FL Practitioner - Nurse Practitioner 0648714352 Reassigns benefits to 3 organizations
I20251126003749 CT Practitioner - Nurse Practitioner 0648714352 Reassigns benefits to 1 organization
I20251212000714 CO Practitioner - Nurse Practitioner 0648714352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Hialeah, FL 33018
Phone (786) 361-9564

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medpro CS, LLC Single Specialty CurrentSince Apr 22, 2025 Accepting new patients
Ecj Medical Services Corporation Single Specialty CurrentSince Mar 14, 2025 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Sep 13, 2024 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1154027555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 NW 119TH ST UNIT 3206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330187909",
            "telephone_number": "305-910-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 NW 119TH ST UNIT 3206",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330187909",
            "telephone_number": "305-910-6091",
            "fax_number": "857-336-1383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROSO",
        "first_name": "DENIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "APRN11015257",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11015257",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.