RAFAEL PENA PENA APRN
NPI 1508516550
Nurse Practitioner - Family in Coconut Grove, FL

Active since March 24, 2022PECOS Enrolled
2734 SW 37TH AVE, COCONUT GROVE, FL 33133(305) 642-4263(305) 426-3329 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rafael Pena Pena Aprn NPPES

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

RAFAEL PENA PENA APRN (NPI 1508516550) is an individual family provider in Coconut Grove, Florida, licensed in Florida (11018701) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hialeah Gardens.

NPPES Registry Identity

NPI1508516550
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAFAEL PENA PENACredential: APRN
Location Address2734 SW 37TH AVECoconut Grove, FL 33133-2728
Mailing Address3186 W 78th PlHialeah Gardens, FL 33018-3847
Fax(305) 426-3329
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateJuly 18, 2022
NPPES CertifiedJuly 18, 2022
✔ NPI 1508516550 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 · 11018701
2734 SW 37TH AVE, Coconut Grove, FL 33133

Secondary Practice Location 1

Location 13186 W 78th PlHialeah Gardens, FL 33018-3847 · Phone (786) 366-5756

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Pena Pena Aprn 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 Reassignments

2

Medicare enrollment records show Rafael Pena Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Specialist
2734 SW 37TH AVE
Coconut Grove, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
Specialist
580 CRANDON BLVD, 1ST FLOOR
Key Biscayne, FL 33149
  • Reassigned Medicare billing, Florida enrollment
  • 6 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 33133 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.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Plastic and Reconstructive Surgery)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Nurse Practitioner (Family)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Clinic/Center (Urgent Care)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Specialist
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Occupational Therapist
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Occupational Therapist
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Surgery (Surgery of the Hand)
2734 SW 37TH AVE
COCONUT GROVE, FL 33133
Plastic Surgery
2734 SW 37TH AVE
COCONUT GROVE, FL 33133

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 Rafael Pena Pena's NPI number?

The NPI number for Rafael Pena Pena is 1508516550. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Rafael Pena Pena located?

Rafael Pena Pena practices at 2734 SW 37th Ave, Coconut Grove, FL 33133. The listed phone number is (305) 642-4263.

What is Rafael Pena Pena's specialty?

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

Is Rafael Pena Pena enrolled in Medicare?

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

Which organizations bill Medicare for Rafael Pena Pena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Pena Pena reassigns Medicare benefits to 2 organizations: Miami Hand PLLC (Coconut Grove, FL) and Miami Breast Center LLC (Key Biscayne, FL). Each 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 Rafael Pena Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Pena Pena was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.