Individual provider Active NPI

Keesha Pacheco, APRN

  • Family Medicine Physician
  • Cutler Bay, FL
National Provider Identifier
1245093392
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023063441 Issued in FL
Practice address
20850 SW 90TH PL Bay 33189
Cutler Bay, FL 33189-3919
Phone
(130) 549-4871
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023063441 FL Primary
Family Nurse Practitioner 363LF0000X APRN11028805 FL

Addresses

Primary practice location

20850 SW 90TH PL Bay 33189
Cutler Bay, FL 33189-3919

Mailing address

20850 SW 90TH PL Bay 33189
Cutler Bay, FL 33189-3919
Phone (130) 549-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250530001480 FL Practitioner - Nurse Practitioner 0345759569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victor Lopez de Mendoza, MD PLLCGroup PAC ID 3274718226, 8 clinicians

Practice addresses (Care Compare)

7031 SW 62 Ave
South Miami, FL 33143-4701
Phone (305) 284-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023063441FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Lopez de Mendoza, MD PLLC CurrentSince May 9, 2025 Accepting new patients

Locations

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1245093392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20850 SW 90TH PL BAY 33189",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893919",
            "telephone_number": "130-549-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20850 SW 90TH PL BAY 33189",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893919",
            "telephone_number": "130-549-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "KEESHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "2023063441",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.