DANIEL EDUARDO BEJARANO PUENTES (CNP) – Adult Health Nurse Practitioner, NPI 1326577578
Adult Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for DANIEL EDUARDO BEJARANO PUENTES (CNP)
3700 Southern Blvd Ste 401
Kettering, OH 454291226
Phone: (855) 500-2873
Fax: (937) 281-3913
Type: Location
3712 Runyon Ave
Trotwood, OH 454161341
Phone: (937) 278-5155
Type: Location
3712, Runyon Avenue, Trotwood, Montgomery County, Ohio, 45416, United States
TROTWOOD, OH 454161341
Phone: (937) 278-5155
Type: Mailing
823 MICHIGAN ST
SIDNEY, OH 453652685
Phone: (937) 498-5334
Fax: (937) 494-5914
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Lilly USA, LLC ($76).
Total Amount
$159
General + Research + Ownership
Payments
9
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $76 |
| IDORSIA PHARMACEUTICALS US INC | $32 |
| ABBVIE INC. | $21 |
| PFIZER INC. | $16 |
| GlaxoSmithKline, LLC. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240923000816 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 78 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 53 | $0 |
| 81002 | Urinalysis, manual test | 27 | 27 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 27 | 26 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| - | CA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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