Individual provider Active NPI

Merly Maria Pequeno

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1508674458
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11037271 Issued in FL
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

Updated by the provider on Jan 18, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125005024 FL Practitioner - Nurse Practitioner 7618469636 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
11037271FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC CurrentSince Jan 4, 2026 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.

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

Verify at the official NPI Registry.