Active NPI
Jelen Belen Pena Diaz, MSN,RN,APRN,PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
National Provider Identifier
1225776602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11047630
- Practice address
- 1905 NW 82ND Ave
Doral, FL 33126-1011 - Phone
- (786) 420-5924
- Fax
- (786) 542-5340
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11047630 | FL | Primary |
Addresses
Primary practice location
1905 NW 82ND Ave
Doral, FL 33126-1011
Mailing address
4401 NW 87TH Ave Unit 334
Doral, FL 33178-2789
Phone (786) 405-6110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2676 SE 10TH St
Homestead, FL 33035-2588
4401 NW 87TH Ave Unit
Suite 334
Doral, FL 33178-2789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11047630 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1225776602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 NW 87TH AVE UNIT 334",
"city": "DORAL",
"state": "FL",
"postal_code": "331782789",
"telephone_number": "786-405-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 NW 82ND AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331261011",
"telephone_number": "786-420-5924",
"fax_number": "786-542-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA DIAZ",
"first_name": "JELEN",
"middle_name": "BELEN",
"credential": "MSN,RN,APRN,PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11047630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.