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DR. NICOLE MARIA PENA DMD
NPI 1356970198
Dentist - General Practice in Fort Lauderdale, FL

Active since April 03, 2020PECOS Enrolled
1209 W BROWARD BLVD, FORT LAUDERDALE, FL 33312(954) 763-3358 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Apr 3, 2020 (2 updates tracked since 2020).

About Dr. Nicole Maria Pena Dmd NPPES

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

DR. NICOLE MARIA PENA DMD (NPI 1356970198) is an individual general practice provider in Fort Lauderdale, Florida, licensed in Florida (25547) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356970198
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICOLE MARIA PENACredential: DMD
Location Address1209 W BROWARD BLVDFort Lauderdale, FL 33312-1640
Mailing Address1137 Castile AveCoral Gables, FL 33134-4741 · (786) 376-5687
Phone(954) 763-3358
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1356970198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 25547
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1209 W BROWARD BLVD, Fort Lauderdale, FL 33312
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 737-7834 · Fax (252) 737-7049
Location 2987 N University DrCoral Springs, FL 33071-7048 · Phone (954) 753-4005

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Maria Pena Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33312 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

DR. ZELJKA LICINA DDS
Dentist (General Practice)
1209 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Broward County (917) 923-7712
DR. DEEPALI NILESH JETHWA DDS
Dentist (General Practice)
1209 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Broward County (954) 763-3358
MICHAEL BARNARD DDS PA
Dentist
1209 W BROWARD BLVD
FT LAUDERDALE, FL 33312
Broward County (954) 763-3358
DR. ANELISSE MARINO DMD
Dentist
1209 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Broward County (954) 763-3358
SUNCICA MARTINASEVIC D.M.D.
Dentist
1209 W BROWARD BLVD
FT LAUDERDALE, FL 33312
Broward County (954) 763-3358

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 Nicole Pena's NPI number?

The NPI number for Nicole Pena is 1356970198. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Nicole Pena located?

Nicole Pena practices at 1209 W Broward Blvd, Fort Lauderdale, FL 33312. The listed phone number is (954) 763-3358.

What is Nicole Pena's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicole Pena enrolled in Medicare?

Yes. Nicole Pena is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Pena accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Nicole Pena 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 Nicole Pena was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.