MERCEDES MARIA PENAFUENTES AGACNP-BC
NPI 1124775226
Nurse Practitioner - Acute Care in Miami, FL

Q: What is Mercedes Penafuentes's NPI number?

The NPI number for Mercedes Penafuentes is 1124775226. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Q: What is Mercedes Penafuentes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since March 08, 2022PECOS EnrolledAccepts Medicare Assignment

940 NW 128TH PL, MIAMI, FL 33182(786) 461-2857 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mercedes Maria Penafuentes Agacnp-bc NPPES

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

MERCEDES MARIA PENAFUENTES AGACNP-BC (NPI 1124775226) is an individual acute care provider in Miami, Florida, licensed in Florida (11018574) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124775226

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMERCEDES MARIA PENAFUENTESCredential: AGACNP-BC

Location Address940 NW 128TH PLMiami, FL 33182-2318

Mailing Address940 Nw 128th PlMiami, FL 33182-2318 · (786) 461-2857

Phone(786) 461-2857

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 8, 2022

NPPES CertifiedMarch 8, 2022

✔ NPI 1124775226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · 11018574

940 NW 128TH PL, Miami, FL 33182

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Mercedes Maria Penafuentes Agacnp-bc 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 ID3870974892

PECOS Enrollment IDI20220721001163

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

Medicare enrollment records show Mercedes Penafuentes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Grove Physician Services, P.A.

16 mi

Internal Medicine

160 NW 170TH ST
North Miami Beach, FL 33169

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Oak Grove Physician Services PA
119 clinicians in this Medicare group

NPI 1689446700 (305) 651-1100

Accountable Care Hospitalist Group

61 mi

Internal Medicine

10101 FOREST HILL BLVD
Wellington, FL 33414

Reassigned Medicare billing, Florida enrollment
265 clinicians in this Medicare group

NPI 1659640282 (561) 766-1300

Florida Hospital Medicine Services, LLC.

62 mi

Hospitalist

21644 STATE ROAD 7
Boca Raton, FL 33428

Reassigned Medicare billing, Florida enrollment
516 clinicians in this Medicare group

NPI 1508873183 (561) 488-8000

Cogent Healthcare Of Pensacola LLC

83 mi

Internal Medicine

8300 COLLIER BLVD
Naples, FL 34114

Reassigned Medicare billing, Florida enrollment
335 clinicians in this Medicare group

NPI 1740863844 (239) 354-6000

First Docs PC

1,185 mi

Internal Medicine

1525 OXFORD LN
Naperville, IL 60565

Reassigned Medicare billing, Florida enrollment
390 clinicians in this Medicare group

NPI 1417655465 (702) 762-2485

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

439 services173 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

248 services220 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

167 services154 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100258

Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33182 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 Mercedes Penafuentes's NPI number?

The NPI number for Mercedes Penafuentes is 1124775226. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Mercedes Penafuentes located?

Mercedes Penafuentes practices at 940 NW 128th Pl, Miami, FL 33182. The listed phone number is (786) 461-2857.

What is Mercedes Penafuentes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mercedes Penafuentes enrolled in Medicare?

Yes. Mercedes Penafuentes 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 Mercedes Penafuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Penafuentes reassigns Medicare benefits to 5 organizations: Oak Grove Physician Services, P.A. (North Miami Beach, FL), Accountable Care Hospitalist Group (Wellington, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL), Cogent Healthcare Of Pensacola LLC (Naples, FL) and First Docs PC (Naperville, IL). 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 Mercedes Penafuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mercedes Penafuentes accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Mercedes Penafuentes 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.

Is Mercedes Penafuentes affiliated with any hospitals?

According to CMS data, Mercedes Penafuentes is affiliated with Jackson Health System and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Mercedes Penafuentes was last updated on March 8, 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.