KENIA ORTIZ
NPI 1376048496
Nurse Practitioner - Family in Miami, FL

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
11004 SW 123RD AVE, MIAMI, FL 33186(786) 702-6609 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2024, Mar 29, 2018 (2 updates tracked since 2018).

About Kenia Ortiz NPPES

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

KENIA ORTIZ (NPI 1376048496) is an individual family provider in Miami, Florida, licensed in Florida (11025063) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376048496
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENIA ORTIZ
Location Address11004 SW 123RD AVEMiami, FL 33186-4809
Mailing Address11004 Sw 123rd AveMiami, FL 33186-4809 · (786) 702-6609
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2018
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1376048496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11025063
11004 SW 123RD AVE, Miami, FL 33186

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

Kenia Ortiz 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.

PECOS PAC ID1850817891
PECOS Enrollment IDI20250502000719
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 Kenia Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
7480 FAIRWAY DR STE 106
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Southwest Medical Group PA
  • 13 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 33186 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Kenia Ortiz's NPI number?

The NPI number for Kenia Ortiz is 1376048496. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Kenia Ortiz located?

Kenia Ortiz practices at 11004 SW 123rd Ave, Miami, FL 33186. The listed phone number is (786) 702-6609.

What is Kenia Ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenia Ortiz enrolled in Medicare?

Yes. Kenia Ortiz 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 Kenia Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenia Ortiz reassigns Medicare benefits to Southwest Medical Group, P.A. (Miami Lakes, 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 Kenia Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenia Ortiz accept?

Health plans from 22 Health, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Kenia Ortiz 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 Kenia Ortiz was last updated on June 24, 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.