STEFANIE PENA APRN
NPI 1558013573
Nurse Practitioner - Family in Coral Gables, FL

Q: What is Stefanie Pena's NPI number?

The NPI number for Stefanie Pena is 1558013573. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Q: What is Stefanie Pena's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stefanie Pena was last updated on February 6, 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.

Active since January 20, 2022PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 243-8500(305) 243-6425 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, Jan 25, 2022, Jan 20, 2022 (3 updates tracked since 2022).

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About Stefanie Pena Aprn NPPES

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

STEFANIE PENA APRN (NPI 1558013573) is an individual family provider in Coral Gables, Florida, licensed in Florida (11016455) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2021).

NPPES Registry Identity

NPI1558013573

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEFANIE PENACredential: APRN

Location Address5555 PONCE DE LEON BLVDCoral Gables, FL 33146-2513

Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-7055

Phone(305) 243-8500

Fax(305) 243-6425

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2021

Enumeration DateJanuary 20, 2022

Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1558013573 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 · 11016455

5555 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stefanie Pena Aprn 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 ID3577949023

PECOS Enrollment IDI20221006001110

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

37 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services20 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%29 patients

Breast Cancer Screening

39%122 patients2/55-star benchmark: 93%

Cervical Cancer Screening

21%136 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

39%205 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

73%89 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

41%34 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

32%34 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

80%635 patients3/55-star benchmark: 100%

e-Prescribing

98%187 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%82 patients5/55-star benchmark: 100%

HIV Screening

34%210 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

47%196 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

94%186 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%280 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 171 patients

Patients screened: 98% · 171 patients

68%25 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%139 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 15% · 93 patients

Patients totalRate: 22% · 93 patients

22%93 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

ANDREA PIERRE PA-C

Physician Assistant (Surgical)