ALEXANDRA MARIE PENA PA-C
NPI 1053035626
Physician Assistant in Miami, FL

Active since September 28, 2022PECOS EnrolledAccepts Medicare Assignment
2575 SW 67TH AVE, MIAMI, FL 33155(305) 266-2424(305) 692-0728 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexandra Marie Pena Pa-c NPPES

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

ALEXANDRA MARIE PENA PA-C (NPI 1053035626) is an individual physician assistant in Miami, Florida, licensed in Florida (9116538) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053035626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA MARIE PENACredential: PA-C
Location Address2575 SW 67TH AVEMiami, FL 33155-2968
Mailing Address5640 Sw 116th AveMiami, FL 33173-1057 · (786) 925-6393
Fax(305) 692-0728
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1053035626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9116538
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2575 SW 67TH AVE, Miami, FL 33155

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

Alexandra Marie Pena Pa-c 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 ID9335625730
PECOS Enrollment IDI20260114004301
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 Alexandra Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2575 SW 67TH AVE
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Obstetrics & Gynecology
3225 AVIATION AVE, SUITE #700
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 716 clinicians in this Medicare group

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 33155 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2575 SW 67TH AVE
MIAMI, FL 33155
Nurse Practitioner (Family)
2575 SW 67TH AVE
MIAMI, FL 33155
Family Medicine
2575 SW 67TH AVE
MIAMI, FL 33155
Physician Assistant
2575 SW 67TH AVE
MIAMI, FL 33155
Family Medicine
2575 SW 67TH AVE
MIAMI, FL 33155

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 Alexandra Pena's NPI number?

The NPI number for Alexandra Pena is 1053035626. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Alexandra Pena located?

Alexandra Pena practices at 2575 SW 67th Ave, Miami, FL 33155. The listed phone number is (305) 266-2424.

What is Alexandra Pena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Pena enrolled in Medicare?

Yes. Alexandra Pena 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 Alexandra Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Pena reassigns Medicare benefits to 2 organizations: Healthcare Now, LLC (Miami, FL) and Vitalmd Group Holding 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 Alexandra Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexandra Pena was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.