JUAN C PONCE APRN, PMHNP-BC
NPI 1639848419
Nurse Practitioner - Psychiatric/Mental Health in Doral, FL

Q: What is Juan Ponce's NPI number?

The NPI number for Juan Ponce is 1639848419. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Q: What is Juan Ponce's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Juan Ponce was last updated on April 29, 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 September 07, 2021PECOS EnrolledAccepts Medicare Assignment

8323 NW 12TH ST STE 108, DORAL, FL 33126(305) 400-8511(305) 392-0184 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Feb 5, 2024, Sep 7, 2021 (3 updates tracked since 2021).

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About Juan C Ponce Aprn, Pmhnp-bc NPPES

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

JUAN C PONCE APRN, PMHNP-BC (NPI 1639848419) is an individual psychiatric/mental health provider in Doral, Florida, licensed in Florida (APRN11012428) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639848419

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJUAN C PONCECredential: APRN, PMHNP-BC

Location Address8323 NW 12TH ST STE 108Doral, FL 33126-1839

Mailing Address3501 Del Prado Blvd S Ste 303Cape Coral, FL 33904-7222 · (239) 317-0265 · Fax (239) 673-7681

Phone(305) 400-8511

Fax(305) 392-0184

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 7, 2021

Last NPPES UpdateApril 29, 20243 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1639848419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11012428

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APRN11012428 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11012428 (FL)

8323 NW 12TH ST STE 108, Doral, FL 33126

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Secondary Practice Location 1

Location 1180 NW 62nd StMiami, FL 33150-4543 · Phone (786) 360-5625

Other Identifiers 1

Medicaid112093100FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan C Ponce Aprn, Pmhnp-bc 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 ID4688063670

PECOS Enrollment IDI20211112001285

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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 6

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

IVANNA SCHULS-DIAZ LMHC

Counselor (Mental Health)