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EFREN RAFAEL MENENDEZ APRN
NPI 1255809356
Nurse Practitioner - Family in Miami, FL

Active since November 06, 2018PECOS Enrolled
81.31/100
CMS Quality Rating
12710 SW 149TH ST, MIAMI, FL 33186(786) 201-7343 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2022, May 8, 2020, Nov 6, 2018 (3 updates tracked since 2018).

About Efren Rafael Menendez Aprn NPPES

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

EFREN RAFAEL MENENDEZ APRN (NPI 1255809356) is an individual family provider in Miami, Florida, licensed in Florida (APRN11000051) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255809356
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEFREN RAFAEL MENENDEZCredential: APRN
Location Address12710 SW 149TH STMiami, FL 33186-6331
Mailing Address12710 Sw 149th StMiami, FL 33186-6331 · (786) 201-7343
Phone(786) 201-7343
Sole ProprietorYes
Enumeration DateNovember 6, 2018
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1255809356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11000051
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11000051 (FL)
12710 SW 149TH ST, Miami, FL 33186
Open in Google Maps ↗

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 (PECOS)

Efren Rafael Menendez Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Efren Menendez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
4.8 mi
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1912956566 (305) 243-7688
Cardiovascular Medicine Associates PA
8.2 mi
Cardiovascular Disease
6200 SUNSET DRIVE, SUITE 401
Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group
NPI 1831123520 (305) 662-7722
Oscar Herrera MD PA
13 mi
Infectious Disease
3901 NW 7TH ST.
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1770983447 (305) 854-1133

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 33186 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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 Efren Menendez's NPI number?

The NPI number for Efren Menendez is 1255809356. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Efren Menendez located?

Efren Menendez practices at 12710 SW 149th St, Miami, FL 33186. The listed phone number is (786) 201-7343.

What is Efren Menendez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Efren Menendez enrolled in Medicare?

Yes. Efren Menendez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Efren Menendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Efren Menendez reassigns Medicare benefits to 3 organizations: University Of Miami (Miami, FL), Cardiovascular Medicine Associates PA (Miami, FL) and Oscar Herrera MD 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 Efren Menendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Efren Menendez accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Efren Menendez 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 Efren Menendez was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.