MRS. KATHRYN ROSE PEBANCO APRN
NPI 1356608277
Nurse Practitioner - Family in Plantation, FL
About Mrs. Kathryn Rose Pebanco Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHRYN ROSE PEBANCO APRN (NPI 1356608277) is an individual family provider in Plantation, Florida, licensed in Florida (ARNP9179147) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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. Kathryn Rose Pebanco Aprn 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 Kathryn Pebanco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miramar, FL 33027
- Reassigned Medicare billing, Florida enrollment
- 52 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Florida enrollment
- 517 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANTATION, FL 33324
PLANTATION, FL 33324
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 Kathryn Pebanco's NPI number?
The NPI number for Kathryn Pebanco is 1356608277. It was assigned to this individual provider in the NPPES registry on April 17, 2012.
Where is Kathryn Pebanco located?
Kathryn Pebanco practices at 10241 W Broward Blvd, Plantation, FL 33324. The listed phone number is (866) 389-2727.
What is Kathryn Pebanco's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathryn Pebanco enrolled in Medicare?
Yes. Kathryn Pebanco 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 Kathryn Pebanco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Pebanco reassigns Medicare benefits to 2 organizations: Minuteclinic Primary Care Florida LLC (Miramar, FL) and Minuteclinic LLC (Rockville, MD). 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 Kathryn Pebanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Pebanco accept?
Health plans from 22 Health, CareSource and Oscar Health Maintenance Organization of Florida list Kathryn Pebanco 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 Kathryn Pebanco was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Kathryn Rose Pebanco, APRN · NPI 1356608277
Family physician in Plantation, Florida. Individual provider, active in the CMS NPPES registry since April 17, 2012.
## Identity
- **NPI:** 1356608277 (Entity type: Individual)
- **Enumerated:** April 17, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9179147 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 10241 W BROWARD BLVD, Plantation, FL 33324-2114
- **Phone:** (866) 389-2727
## 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): Minuteclinic Primary Care Florida LLC (NPI 1891502837, Miramar, FL); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1356608277) · Data from the CMS NPPES public registry.