Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mercedes Maria Penafuentes, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1124775226

Mercedes Maria Penafuentes, AGACNP-BC is a Nurse Practitioner in Miami, Florida. Qualified in 2021, 5 years ago. Practices with Oak Grove Physician Services PA, a 70-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

940 NW 128th Pl
Miami, FL 33182-2318
Phone: (786) 461-2857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11018574 (FL)

Record details

NPI number1124775226
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Oak Grove Physician Services Pa — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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