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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 04, 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

Medicare Participation & PECOS CMS

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

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.

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.

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.