MR. EDDY RAMIRO MARTINEZ PENSO FNP
NPI 1619829488
Nurse Practitioner - Family in Port St Lucie, FL
About Mr. Eddy Ramiro Martinez Penso Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDDY RAMIRO MARTINEZ PENSO FNP (NPI 1619829488) is an individual family provider in Port St Lucie, Florida, licensed in Florida (APRN11045423) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Eddy Ramiro Martinez Penso Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Eddy Martinez Penso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, Florida enrollment
- 16 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 34952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORT ST LUCIE, FL 34952
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 Eddy Martinez Penso's NPI number?
The NPI number for Eddy Martinez Penso is 1619829488. It was assigned to this individual provider in the NPPES registry on February 12, 2026.
Where is Eddy Martinez Penso located?
Eddy Martinez Penso practices at 1800 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 335-4000.
What is Eddy Martinez Penso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Eddy Martinez Penso enrolled in Medicare?
Yes. Eddy Martinez Penso is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Eddy Martinez Penso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eddy Martinez Penso reassigns Medicare benefits to Treasure Coast Hospitalist Pl (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 Eddy Martinez Penso'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 Eddy Martinez Penso was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Eddy Ramiro Martinez Penso, FNP · NPI 1619829488
Family physician in Port St Lucie, Florida. Individual provider, active in the CMS NPPES registry since February 12, 2026.
## Identity
- **NPI:** 1619829488 (Entity type: Individual)
- **Enumerated:** February 12, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11045423 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 SE TIFFANY AVE, Port St Lucie, FL 34952-7521
- **Phone:** (772) 335-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Treasure Coast Hospitalist Pl (FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619829488) · Data from the CMS NPPES public registry.