Nariel Pena Pacheco

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11002188 Issued in FL

Practice address

11009 SW 186TH St
Cutler Bay, FL 33157-6810

Phone

(786) 608-0710

NPI assigned

Jun 16, 2015

Last updated

Apr 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wellness Are USA Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1780277533
  Medicare reassignment NPD
• N&Y Community Wellness Center Corp

  • Community/Behavioral Health Agency
  • Cutler Bay, FL
  • NPI 1548763170
  Medicare reassignment
• Advance Community Services Corp

  • Behavior Analyst
  • Lake Worth, FL
  • NPI 1720742125
  Authorized official Same address or phone
• Advance Community Services Corp

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1760927123
  Authorized official Same address or phone
• Wellness Are USA Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Worth, FL
  • NPI 1629833942
  NPD

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1750762654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 SW 144TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862922",
            "telephone_number": "786-608-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11009 SW 186TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576810",
            "telephone_number": "786-608-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA PACHECO",
        "first_name": "NARIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002188",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "022376300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoania Yoanis Pelier Carbajo
• Ernesto Pena Estrada
• Daniela Pena Greenough
• Yenia Pena Hernandez
• Janet Pena Mendez, APRN
• Dailany Ana Pena, BA, SLPA, ITDS
• Eriannis Marla Pena
• Jennifer Pena
• Marco Aurelio Pena
• Samantha Pena

• Family Nurse Practitioner in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.