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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: October 25, 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 Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dina Duran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
13 mi
Pulmonary Disease
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1003866617 (305) 243-7688
Physicians Associates, LLC.
16 mi
Family Medicine
6090 BIRD RD
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1568429363 (305) 661-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Dina Duran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dina Duran reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Physicians Associates, LLC. (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dina Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dina Duran accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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 20 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.