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DINA MARCELA DURAN
NPI 1013624873
Nurse Practitioner - Adult Health in Hialeah, FL

Active since November 01, 2022PECOS EnrolledAccepts Medicare Assignment
18900 WENTWORTH DR, HIALEAH, FL 33015(305) 498-9595 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 13, 2025, Nov 1, 2022 (2 updates tracked since 2022).

About Dina Marcela Duran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DINA MARCELA DURAN (NPI 1013624873) is an individual adult health provider in Hialeah, Florida, licensed in Florida (APRN11022431) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013624873
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDINA MARCELA DURAN
Location Address18900 WENTWORTH DRHialeah, FL 33015-2922
Mailing Address18900 Wentworth DrHialeah, FL 33015-2922 · (305) 498-9595
Phone(305) 498-9595
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 1, 2022
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1013624873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11022431
18900 WENTWORTH DR, Hialeah, FL 33015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dina Marcela Duran is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830543040
PECOS Enrollment IDI20230921002279
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dina Duran's NPI number?

The NPI number for Dina Duran is 1013624873. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Dina Duran located?

Dina Duran practices at 18900 Wentworth Dr, Hialeah, FL 33015. The listed phone number is (305) 498-9595.

What is Dina Duran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dina Duran enrolled in Medicare?

Yes. Dina Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dina Duran accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Dina Duran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dina Duran was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.