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ARLEENE MARIE CAREAGA-HERNANDEZ
NPI 1568977643
Nurse Practitioner in Miami, FL

Active since December 11, 2017PECOS EnrolledAccepts Medicare Assignment
76.98/100
CMS Quality Rating
8950 N KENDALL DR STE 504W, MIAMI, FL 33176(786) 595-0575(786) 591-6186 Get Directions Write a Review

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

Record update history: Mar 25, 2026, Dec 18, 2025, Nov 12, 2025 and 1 more (4 updates tracked since 2017).

About Arleene Marie Careaga-hernandez NPPES

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

ARLEENE MARIE CAREAGA-HERNANDEZ (NPI 1568977643) is an individual nurse practitioner in Miami, Florida, licensed in Florida (APRN9327501) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1568977643
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameARLEENE MARIE CAREAGA-HERNANDEZ
Location Address8950 N KENDALL DR STE 504WMiami, FL 33176-2127
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 662-7980
Phone(786) 595-0575
Fax(786) 591-6186
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 11, 2017
Last NPPES UpdateMarch 25, 20264 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1568977643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN9327501
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8950 N KENDALL DR STE 504W, Miami, FL 33176
Open in Google Maps ↗

Secondary Practice Location 1

Location 112363 SW 122nd StMiami, FL 33186-5460 · Phone (305) 972-2690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Arleene Marie Careaga-hernandez 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 ID5890033583
PECOS Enrollment IDI20190204002925
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

3

Medicare enrollment records show Arleene Careaga-hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Physicians LLC
0.2 mi
Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 685 clinicians in this Medicare group
NPI 1891893343 (786) 662-7111
Mori Bean And Brooks Inc
206 mi
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,130 clinicians in this Medicare group
NPI 1093782070 (904) 236-5884
Radiology Associates Of South Florida LLC
988 mi
Diagnostic Radiology
920 JUDSON RD
Longview, TX 75601
  • Reassigned Medicare billing, Florida enrollment
  • 200 clinicians in this Medicare group
NPI 1699759183 (305) 363-3286

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services73 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
115 services113 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
32 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
15 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

76.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Improvement Activities40

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.

MS. SHANNON MELISSA CHIN PA-C
Physician Assistant
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (786) 595-0555
KATHRYN BOYLAN PA-C
Physician Assistant
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (786) 595-0575
JOSE R. LEMUS SIGUENCE PA-C
Physician Assistant
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (305) 274-2030
MS. ANGIE AMARO PA-C
Physician Assistant
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (786) 595-0575
MS. DANIELA ESPINOSA CAAMANO PA-C
Physician Assistant
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (786) 595-0555
RONALD ALEJANDRO MORA ARRIA MD
Radiology (Vascular & Interventional Radiology)
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (786) 595-0575
MICHAEL ROCKLIN SHUMAKER MD
Student in an Organized Health Care Education/Training Program
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (305) 274-2030
ERICKA CHANTISA WILLIAMS-HAYE
Physician Assistant
8950 N KENDALL DR STE 504W
MIAMI, FL 33176
Miami-Dade County (786) 595-0575

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 Arleene Careaga-hernandez's NPI number?

The NPI number for Arleene Careaga-hernandez is 1568977643. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Arleene Careaga-hernandez located?

Arleene Careaga-hernandez practices at 8950 N Kendall Dr Ste 504W, Miami, FL 33176. The listed phone number is (786) 595-0575.

What is Arleene Careaga-hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Arleene Careaga-hernandez enrolled in Medicare?

Yes. Arleene Careaga-hernandez 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 organizations bill Medicare for Arleene Careaga-hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arleene Careaga-hernandez reassigns Medicare benefits to 3 organizations: Baptist Health Medical Group Physicians LLC (Miami, FL), Mori Bean And Brooks Inc (Tampa, FL) and Radiology Associates Of South Florida LLC (Longview, TX). 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 Arleene Careaga-hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arleene Careaga-hernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Arleene Careaga-hernandez 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.

Is Arleene Careaga-hernandez affiliated with any hospitals?

According to CMS data, Arleene Careaga-hernandez is affiliated with Baptist Hospital Of Miami, Homestead Hospital, South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Arleene Careaga-hernandez was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.