1. Home
  2. Directory
  3. Florida
  4. Hollywood
  5. Nurse Practitioner
  6. NPI Profile

SUMMER LYNN DIVINCENZO ARNP
NPI 1366953242
Nurse Practitioner - Pediatrics in Hollywood, FL

Active since October 18, 2017PECOS Enrolled
4430 SHERIDAN ST STE B, HOLLYWOOD, FL 33021(954) 963-5437 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2020, Oct 18, 2017 (2 updates tracked since 2017).

About Summer Lynn Divincenzo Arnp NPPES

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

SUMMER LYNN DIVINCENZO ARNP (NPI 1366953242) is an individual pediatrics provider in Hollywood, Florida, licensed in Florida (ARNP9254933) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1366953242
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUMMER LYNN DIVINCENZOCredential: ARNP
Location Address4430 SHERIDAN ST STE BHollywood, FL 33021-3546
Mailing Address5851 Holmberg Rd Apt 2011Parkland, FL 33067-4525 · (954) 415-5821
Phone(954) 963-5437
Sole ProprietorNo
Enumeration DateOctober 18, 2017
Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1366953242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · ARNP9254933
4430 SHERIDAN ST STE B, Hollywood, FL 33021
Open in Google Maps ↗

Secondary Practice Location 1

Location 13100 SW 62nd AveMiami, FL 33155-3009 · Phone (305) 666-6511

Other Identifiers 1

OtherARNP9254933FL · Arnp License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summer Lynn Divincenzo Arnp 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 Reassignment

Medicare enrollment records show Summer Divincenzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Em-I Medical Services PA
5.0 mi
Physician Assistant
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1053589044 (305) 682-7111

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 33021 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
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Summer Divincenzo's NPI number?

The NPI number for Summer Divincenzo is 1366953242. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is Summer Divincenzo located?

Summer Divincenzo practices at 4430 Sheridan St Ste B, Hollywood, FL 33021. The listed phone number is (954) 963-5437.

What is Summer Divincenzo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Summer Divincenzo enrolled in Medicare?

Yes. Summer Divincenzo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Summer Divincenzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Divincenzo reassigns Medicare benefits to Florida Em-I Medical Services PA (Aventura, 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 Summer Divincenzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summer Divincenzo accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Summer Divincenzo 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 Summer Divincenzo was last updated on July 27, 2020. 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.