Active NPI
Merly Maria Pequeno
- Acute Care Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11037271
- Practice address
- 13426 SW 59TH Ter
Miami, FL 33183-5177 - Phone
- (786) 231-9875
- NPI assigned
- Dec 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11037271 | FL | Primary |
Addresses
Primary practice location
13426 SW 59TH Ter
Miami, FL 33183-5177
Mailing address
13426 SW 59TH Ter
Miami, FL 33183-5177
Phone (786) 231-9875
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11037271 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawnwood Cardiovascular Surgery LLC | Current | Accepting new patients | |
| Thoracic & Cardiovascular Surgeons LLC | Past | Accepting new patients |
Locations
5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900
11760 SW 40th St
Ste 352
Miami, FL 33175
Phone (305) 485-7881
21097 NE 27th Ct
Ste 100
Miami, FL 33180
Phone (305) 792-0012
3641 S Miami Ave
Ste 170
Miami, FL 33133
Phone (305) 285-2121
3683 S Miami Ave
Ste 500
Miami, FL 33133
Phone (305) 285-5025
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
Organizations & group practices 2
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Pierce, FL
- NPI 1386724169
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlantis, FL
- NPI 1649212416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737158400000",
"number": "1508674458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13426 SW 59TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331835177",
"telephone_number": "786-231-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13426 SW 59TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331835177",
"telephone_number": "786-231-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEQUENO",
"first_name": "MERLY",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-24",
"last_updated": "2025-01-18",
"certification_date": "2025-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11037271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.