CLAUDIA PENA RODRIGUEZ
NPI 1629885736
Nurse Practitioner - Family in Hialeah, FL

Active since December 12, 2024PECOS EnrolledAccepts Medicare Assignment
390 W 42ND ST, HIALEAH, FL 33012(786) 447-2438 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2026, Dec 13, 2024 (2 updates tracked since 2024).

About Claudia Pena Rodriguez NPPES

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

CLAUDIA PENA RODRIGUEZ (NPI 1629885736) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11036314) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629885736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAUDIA PENA RODRIGUEZ
Location Address390 W 42ND STHialeah, FL 33012-3915
Mailing Address390 W 42nd StHialeah, FL 33012-3915 · (786) 447-2438
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 12, 2024
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1629885736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11036314
Also ListedInternal MedicineTaxonomy 207R00000X · License TRN45087 (FL)
390 W 42ND ST, Hialeah, FL 33012

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

Claudia Pena Rodriguez 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 ID2567979024
PECOS Enrollment IDI20250729002783
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 Claudia Pena Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 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 33012 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 Claudia Pena Rodriguez's NPI number?

The NPI number for Claudia Pena Rodriguez is 1629885736. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Claudia Pena Rodriguez located?

Claudia Pena Rodriguez practices at 390 W 42nd St, Hialeah, FL 33012. The listed phone number is (786) 447-2438.

What is Claudia Pena Rodriguez's specialty?

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

Is Claudia Pena Rodriguez enrolled in Medicare?

Yes. Claudia Pena Rodriguez 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 Claudia Pena Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Pena Rodriguez reassigns Medicare benefits to Paragon Contracting Services LLC (Birmingham, AL). 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 Claudia Pena Rodriguez'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 Claudia Pena Rodriguez was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.