MRS. DENIA PEDROSO MSN, APRN, AGACNP-BC
NPI 1154027555
Nurse Practitioner - Psychiatric/Mental Health in Hialeah, FL
About Mrs. Denia Pedroso Msn, Aprn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DENIA PEDROSO MSN, APRN, AGACNP-BC (NPI 1154027555) is an individual psychiatric/mental health provider in Hialeah, Florida, licensed in Florida (APRN11015257) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Mrs. Denia Pedroso Msn, Aprn, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Denia Pedroso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hialeah, FL 33018
- Reassigned Medicare billing, Florida enrollment
Miami, FL 33130
- Reassigned Medicare billing, Colorado, Connecticut and Florida enrollments
- 504 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 33018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIALEAH, FL 33018
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 Denia Pedroso's NPI number?
The NPI number for Denia Pedroso is 1154027555. It was assigned to this individual provider in the NPPES registry on February 7, 2023.
Where is Denia Pedroso located?
Denia Pedroso practices at 8851 NW 119th St Unit 3206, Hialeah, FL 33018. The listed phone number is (305) 910-6091.
What is Denia Pedroso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Denia Pedroso enrolled in Medicare?
Yes. Denia Pedroso 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 Denia Pedroso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denia Pedroso reassigns Medicare benefits to 2 organizations: Ecj Medical Services Corporation (Hialeah, FL) and Grow Healthcare Group PA (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 Denia Pedroso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Denia Pedroso accept?
Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Insurance Company and UnitedHealthcare list Denia Pedroso 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 Denia Pedroso was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mrs. Denia Pedroso, MSN, APRN, AGACNP-BC · NPI 1154027555
Psychiatric/Mental Health physician in Hialeah, Florida. Individual provider, active in the CMS NPPES registry since February 7, 2023.
## Identity
- **NPI:** 1154027555 (Entity type: Individual)
- **Enumerated:** February 7, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11015257 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8851 NW 119TH ST UNIT 3206, Hialeah, FL 33018-7909
- **Phone:** (305) 910-6091 · **Fax:** (857) 336-1383
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ecj Medical Services Corporation (NPI 1114615861, Hialeah, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154027555) · Data from the CMS NPPES public registry.