BANIA PEDRAJA FUENTES
NPI 1366021057
Nurse Practitioner - Family in Doral, FL
About Bania Pedraja Fuentes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANIA PEDRAJA FUENTES (NPI 1366021057) is an individual family provider in Doral, Florida, licensed in Florida (11012973) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Bania Pedraja Fuentes 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 Reassignment
Medicare enrollment records show Bania Pedraja Fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sweetwater, FL 33172
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Centrum Medical Holdings, LLC
- 81 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 33178 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bania Pedraja Fuentes's NPI number?
The NPI number for Bania Pedraja Fuentes is 1366021057. It was assigned to this individual provider in the NPPES registry on April 7, 2021.
Where is Bania Pedraja Fuentes located?
Bania Pedraja Fuentes practices at 9250 NW 36th St Ste 420, Doral, FL 33178. The listed phone number is (305) 266-2929.
What is Bania Pedraja Fuentes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bania Pedraja Fuentes enrolled in Medicare?
Yes. Bania Pedraja Fuentes 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 organization bills Medicare for Bania Pedraja Fuentes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bania Pedraja Fuentes reassigns Medicare benefits to Centrum Medical Center Of Sweetwater, LLC (Sweetwater, FL). The 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 Bania Pedraja Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bania Pedraja Fuentes accept?
Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AmeriHealth Caritas Next and 5 other insurers list Bania Pedraja Fuentes 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 Bania Pedraja Fuentes was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bania Pedraja Fuentes · NPI 1366021057
Family physician in Doral, Florida. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1366021057 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11012973 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9250 NW 36TH ST STE 420, Doral, FL 33178-2775
- **Phone:** (305) 266-2929
## 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:** Centrum Medical Center Of Sweetwater, LLC (NPI 1851015887, Sweetwater, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366021057) · Data from the CMS NPPES public registry.