Individual provider Active NPI

Yuraisy Napoles Pena, FNP

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1710798467
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036927 Issued in FL
Practice address
3830 NW 203Rd St
Miami Gardens, FL 33055-1419
Phone
(786) 909-3909
NPI assigned
Jan 14, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11036927 FL Primary

Addresses

Primary practice location

3830 NW 203Rd St
Miami Gardens, FL 33055-1419

Mailing address

3830 NW 203Rd St
Miami Gardens, FL 33055-1419
Phone (786) 909-3909

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
I20250729002898 FL Practitioner - Nurse Practitioner 6406363969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11036927FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Care Hospitalist Group CurrentSince Aug 1, 2025 Accepting new patients
Southwest Medical Group, P.a. Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1710798467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 NW 203RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551419",
            "telephone_number": "786-909-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 NW 203RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551419",
            "telephone_number": "786-909-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLES PENA",
        "first_name": "YURAISY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.